Jason Woodford, LCPC
NPI 1740669761ActiveIndividual· Counselor, Professional· Peoria, IL
Counselor, Professional (LCPC) with The Antioch Group Inc, practicing in Peoria, Illinois. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1740669761 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCPC |
| Sole proprietor | No |
| NPI issued | May 22, 2015 |
| Last updated in NPPES | Dec 9, 2024 |
| Certified by provider | Dec 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 180.011531 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IL) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- The Antioch Group IncPeoria, IL · 8 clinicians
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