Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Debora Lea Humphrey

Individual provider Professional Counselor · NPI 1699161166

Debora Lea Humphrey is a Mental Health Counselor in Beloit, Wisconsin. Qualified in 2014, 12 years ago. Practices with Community Health Systems Inc, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2015
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Practice location Address checks out

74 Eclipse Ctr
Beloit, WI 53511-3550
Phone: (608) 361-0311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1845 Grandstand Pl, Elgin, IL 60123-6603 — (847) 695-0484

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 7886-125 (WI)

Record details

NPI number1699161166
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 12, 2015
Last updated in NPPESJanuary 18, 2021
Certification dateJanuary 18, 2021
Mailing address74 Eclipse Ctr, Beloit, WI 53511-3550

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Community Health Systems Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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