Deborah J. McKenna, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-000343 Issued in IL

Practice address

7150 N University St
Peoria, IL 61614-1752

Phone

(309) 691-2089

Fax

(309) 691-2089

NPI assigned

Apr 11, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1700849619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 N UNIVERSITY ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141752",
            "telephone_number": "309-691-2089",
            "fax_number": "309-691-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 N UNIVERSITY ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141752",
            "telephone_number": "309-691-2089",
            "fax_number": "309-691-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "DEBORAH",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-000343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE IDENTIFICATION",
            "identifier": "030383637",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Brian McIntyre, ED.D
• Seth McIntyre, PHARMD
• Josephine Kay McKean, DO
• Karen M McKean, PTA
• McKenna Counseling LLC
• Emily McKenna
• Duane McKillip, LCSW
• Richard Hugh McKone, DDS
• Heather McLauchlan, MD
• Emily Kathryn McLaughlin, MD

• Professional Counselor in Peoria, IL
• Providers in Peoria, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.