Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL RENE DE LEON, MA
Active Sole ProprietorMICHAEL RENE DE LEON, MA is a Marriage & Family Therapist healthcare provider located in BLOOMINGTON, Illinois. NPI 1962271403 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1962271403
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 26, 2023 (2.6439769244363 yrs)
- Last Updated
- Oct 17, 2025
- Licenses
-
90221 (TX)166.001929 (IL)204600 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
211 N VETERANS PKWY STE 1BLOOMINGTON, IL, 617043568Browse IL providers · Browse ZIP 61704
- Phone
- 2542946655
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Marriage & Family Therapist
- Additional Specialty
- Marriage & Family Therapist
Other Marriage & Family Therapist Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| MARIELLEN GRIFFITH | ED.D. | 1720143456 |
| JOSEPH D STRANO | PH.D. | 1073646964 |
| ROGER ALLEN SHAW | LMFT | 1639373236 |
| STAN E. HUFF | ED.D. | 1346558954 |
| EMILY J HOLCOMB | LMFT | 1598136053 |
| BRITTANY MALAK | LMFT | 1508315219 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.