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 is a Counselor 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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