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

Jason Woodford, LCPC

Individual provider Professional Counselor · NPI 1740669761

Jason Woodford, LCPC is a Clinical Psychologist in Peoria, Illinois. Qualified in 2015, 11 years ago. Practices with The Antioch Group Inc, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2015
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

6615 N Big Hollow Rd
Peoria, IL 61615-2450
Phone: (309) 692-6952
Fax: (309) 692-6952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1709 Jumer Dr Ste A, Bloomington, IL 61704-0914 — (309) 826-8178

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180.011531 (IL)

Record details

NPI number1740669761
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorNo
NPI enumeratedMay 22, 2015
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice The Antioch Group Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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