Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alicia Stoddard Foley, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1962236224

Alicia Stoddard Foley, PMHNP-BC is a Psychiatry in Bloomington, Illinois. Qualified in 2024, 2 years ago. Practices with Life Balance Counseling and Wellness Inc, a 9-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

15 Downing Cir
Bloomington, IL 61704-7620
Phone: (815) 303-4560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2428 Charles St, Lasalle, IL 61301 — (815) 780-8765

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209-030301 (IL)

Record details

NPI number1962236224
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedAugust 29, 2024
Last updated in NPPESAugust 29, 2024
Certification dateAugust 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Also practisesADDICTION MEDICINE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Life Balance Counseling And Wellness Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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