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

Individual provider Mental Health Counselor · NPI 1962271403

Michael Rene De Leon, MA is a Mental Health Counselor in Bloomington, Illinois. Practices as a sole proprietor. Licensed in Illinois and Texas.

Licensed in
IL, TX
In the registry since
2023
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

211 N Veterans Pkwy Ste 1
Bloomington, IL 61704-3568
Phone: (254) 294-6655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 204600 (TX)
Mental Health Counselor Taxonomy 101YM0800X · Licence 90221 (TX)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 166.001929 (IL)

Record details

NPI number1962271403
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedDecember 26, 2023
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025
Mailing address211 N Veterans Pkwy Ste 1, Bloomington, IL 61704-3568

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