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

Jason Deford, LCPC

Individual provider Mental Health Counselor · NPI 1083169965

Jason Deford, LCPC is a Mental Health Counselor in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

3020 W Willow Knolls Dr
Peoria, IL 61614-8127
Phone: (309) 681-5652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180010119 (IL)

Record details

NPI number1083169965
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorNo
NPI enumeratedAugust 19, 2016
Last updated in NPPESAugust 19, 2016
Mailing address3020 W Willow Knolls Dr, Peoria, IL 61614-8127

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