Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Psychology Specialists Ltd

Organization Counselor · NPI 1053368605

Psychology Specialists Ltd provides Counselor services in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
6
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

808 S Eldorado Rd Ste 102
Bloomington, IL 61704-6075
Phone: (888) 428-7890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071-006198 (IL)
Counselor Taxonomy 101Y00000X · Licence 180-005747 (IL)
Counselor Taxonomy 101Y00000X · Licence 180-005332 (IL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 071-005708 (IL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 071-006980 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149011166 (IL)

Record details

NPI number1053368605
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adam Russo — Vp Of Operations · (888) 428-7890
Other names Lifestance Health
NPI enumeratedMay 28, 2006
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022
Mailing address808 S Eldorado Rd Ste 102, Bloomington, IL 61704-6075

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