Active NPI
Life Balance Counseling and Wellness Inc
- Clinical Social Worker
- La Salle, IL
National Provider Identifier
1912409681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LIFE BALANCE COUNSELING AND WELLNESS INC
- Practice address
- 2428 Chartres St
La Salle, IL 61301-1107 - Phone
- (309) 830-1096
- NPI assigned
- Mar 8, 2018
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Danielle Stoddard, LCPC
- Title
- President
- Phone
- (309) 830-1096
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Warrenville, IL
- NPI 1255713236
IL
-
- Psychiatric/Mental Health Nurse Practitioner
- Bloomington, IL
- NPI 1962236224
IL
-
- Social Worker
- La Salle, IL
- NPI 1831836220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180814004194 | IL | Part B Supplier - Clinic/Group Practice | 8325397904 |
Receives reassigned benefits from 10 practitioners Practice locations: Peru, IL |
National Provider Directory
National Provider DirectoryLocations
2428 Chartres St
La Salle, IL 61301
Phone (309) 830-1096
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2428 Chartres St
La Salle, IL 61301-1107
Mailing address
418 Oak St
Spring Valley, IL 61362-2327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 8, 2018.
{
"created_epoch": "1520467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520467200000",
"number": "1912409681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 OAK ST",
"city": "SPRING VALLEY",
"state": "IL",
"postal_code": "613622327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2428 CHARTRES ST",
"city": "LA SALLE",
"state": "IL",
"postal_code": "613011107",
"telephone_number": "309-830-1096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE BALANCE COUNSELING AND WELLNESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-08",
"last_updated": "2018-03-08",
"status": "A",
"authorized_official_last_name": "STODDARD",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "309-830-1096",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Salle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.