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JASON WOODFORD LCPC
NPI 1740669761
Counselor - Professional in Peoria, IL

Active since May 22, 2015PECOS EnrolledAccepts Medicare Assignment
6615 N BIG HOLLOW RD, PEORIA, IL 61615(309) 692-6952(309) 692-6952 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2024, Oct 3, 2024, Aug 7, 2024 and 2 more (5 updates tracked since 2018).

About Jason Woodford Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON WOODFORD LCPC (NPI 1740669761) is an individual professional provider in Peoria, Illinois, licensed in Illinois (180.011531) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bloomington, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1740669761
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJASON WOODFORDCredential: LCPC
Location Address6615 N BIG HOLLOW RDPeoria, IL 61615-2450
Mailing Address320 S Marion StMount Pulaski, IL 62548-1322 · (815) 421-3175
Phone(309) 692-6952
Fax(309) 692-6952
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 22, 2015
Last NPPES UpdateDecember 9, 20245 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1740669761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.011531
6615 N BIG HOLLOW RD, Peoria, IL 61615
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Secondary Practice Location 1

Location 11709 Jumer Dr Ste ABloomington, IL 61704-0914 · Phone (309) 826-8178

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason Woodford Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254870462
PECOS Enrollment IDI20240830002020
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN SISCOE LCPC
Counselor (Professional)
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
MRS. MICHELLE SUE BAKER LCPC CADC
Counselor
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
STEPHANIE SEIDL MA
Counselor (Mental Health)
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
MICHELLE QUINN
Counselor (Mental Health)
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
MS. DONNA SUE WASSON M.A., L.C.P.C., NCC
Counselor (Professional)
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
CLAIRE LEECH
Counselor (Mental Health)
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
TIFFANY JORDAN LCPC
Counselor
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
STEVEN ALLEN HAMON PHD
Psychologist
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Woodford's NPI number?

The NPI number for Jason Woodford is 1740669761. It was assigned to this individual provider in the NPPES registry on May 22, 2015.

Where is Jason Woodford located?

Jason Woodford practices at 6615 N Big Hollow Rd, Peoria, IL 61615. The listed phone number is (309) 692-6952.

What is Jason Woodford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jason Woodford enrolled in Medicare?

Yes. Jason Woodford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jason Woodford was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.