Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003131541 Individual Practitioner Female Practitioner

Debra Fay Disney , LCPC

Counselor - Professional • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Debra Disney, LCPC is a registered healthcare professional specializing in Counselor - Professional in Peoria, IL. Practice services are available at 7617 N VILLA WOOD LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7617 N Villa Wood Ln

Peoria, IL 616141588

Telephone 3096938200
Associated Practice Facility / Clinic
🏢 Joy Miller Facility NPI 1740471432

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.4 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
153 Specialists

Practicing in Peoria, IL (9683 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180-007284

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
NPI 1093188070

Licensed Clinical Social Worker

Ryan Potempa , MS, LMFT

Marriage & Family Therapist

NPI 1114441128

Master of Science, Licensed Marriage and Family Therapist

Terri Shafer , LCPC

Counselor - Professional

NPI 1124681655

Licensed Clinical Professional Counselor

NPI 1134185325

Licensed Clinical Social Worker

Karen Greene , LCPC

Counselor - Professional

NPI 1134419179

Licensed Clinical Professional Counselor

Judy Carlson , LCPC

Counselor - Professional

NPI 1184850968

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 20, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2011

Registered at 7617 N VILLA WOOD LN, PEORIA, IL 616141588 (Tel: 3096938200)

📍
Updated Business Mailing Address May 20, 2011

Registered at 7617 N VILLA WOOD LN, PEORIA, IL 616141588 (Tel: 3096938200)

👤
Provider Name / Credentials Updated May 20, 2011

Recorded as DEBRA DISNEY, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2011

Counselor (License #180-007284 in IL)

🟢
Initial NPI Registration & Enumeration March 27, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Debra Disney. Be the first to share your experience!

Sign in to leave a review for Debra Disney

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1003131541
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2010
Last Update: May 20, 2011
Sole Proprietor: No

Mailing Address

7617 N Villa Wood Ln

Peoria, IL 616141588

Phone: 3096938200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.