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

Joanna Marie Dy De Leon, MS, LCPC

Individual provider Mental Health Counselor · NPI 1194362947

Joanna Marie Dy De Leon, MS, LCPC is a Mental Health Counselor in Rockford, Illinois. Qualified in 2014, 12 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2019
Specialties on file
4
What do these letters mean?
MS — Master of Science
A graduate science degree.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4615 E State St Ste 204
Rockford, IL 61108-2158
Phone: (815) 708-9068
Fax: (779) 970-5908
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 129 S Phelps Avenue, Rockford, IL 61108-2456 — (815) 246-2880

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X · Licence 180014142 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 178014740 (IL)

Record details

NPI number1194362947
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LCPC
Sole proprietorYes
NPI enumeratedNovember 27, 2019
Last updated in NPPESApril 30, 2024
Certification dateJanuary 30, 2023

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Rockford