Jason Woodford, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.011531 Issued in IL

Practice address

6615 N Big Hollow Rd
Peoria, IL 61615-2450

Phone

(309) 692-6952

Fax

(309) 692-6952

NPI assigned

May 22, 2015

Last updated

Dec 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Antioch Group IncGroup PAC ID 8224920764, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Antioch Group, Inc.

  • Psychologist
  • Peoria, IL
  • NPI 1801993142
  Medicare reassignment Care Compare group NPD
• Woodford and Associates Counseling LTD

  • Professional Counselor
  • Bloomington, IL
  • NPI 1598580516
  NPD Authorized official
• Woodford and Associates, LTD

  • Professional Counselor
  • Bloomington, IL
  • NPI 1598509853
  NPD Authorized official

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1740669761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S MARION ST",
            "city": "MOUNT PULASKI",
            "state": "IL",
            "postal_code": "625481322",
            "telephone_number": "815-421-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 N BIG HOLLOW RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152450",
            "telephone_number": "309-692-6952",
            "fax_number": "309-692-6952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1709 Jumer Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617040914",
            "country_code": "US",
            "telephone_number": "309-826-8178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODFORD",
        "first_name": "JASON",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-22",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Women's Health Institute LTD
• Eddie K Wong, MSW
• Rebecca Ellen Wood, AU.D. CCCA FAAA
• Matthew Kevin Woodbury, MD
• Rhonda L. Woodbury, NP
• Carly Rae Woodin, MD
• David Lawrence Woodruff, D.D.S.
• Angela J Woods, PTA
• Florence Regina Woods, DNP
• Mikaylin Woodside, DMD

• 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 Dec 9, 2024; 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.