LIFESTANCE
NPI 1295914646
Psychologist in Naperville, IL

Active since November 01, 2007
2948 ARTESIAN RD STE 112, NAPERVILLE, IL 60564(630) 428-7890 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 6, 2024, Jun 2, 2023, May 4, 2023 and 1 more (4 updates tracked since 2023).

About Lifestance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESTANCE (NPI 1295914646) is a healthcare organization registered as a psychologist in Naperville, Illinois and active in the NPI registry since November 2007. The organization lists Ryan Pardo, Chief Legal Officer, as its authorized official.

NPPES Registry Identity

NPI1295914646
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameEDGEWOOD CLINICAL SERVICES, P.C.
Location Address2948 ARTESIAN RD STE 112Naperville, IL 60564-8559
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (480) 524-0990
Organization SubpartNo
Authorized OfficialRyan PardoChief Legal Officer · (206) 399-1493
Enumeration DateNovember 1, 2007
Last NPPES UpdateMarch 6, 20244 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
✔ NPI 1295914646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 149-010253 (IL)
2948 ARTESIAN RD STE 112, Naperville, IL 60564

Other Names 1

Doing Business AsLifestance

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifestance is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

472

Medicare enrollment records show 472 clinicians reassign Medicare billing to Lifestance, which bills Medicare for the services they deliver. Of these, 20 practice at this address and 108 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Mental Health Counselor152
Clinical Social Worker145
Nurse Practitioner90
Clinical Psychologist46
Psychiatry25
Marriage and Family Therapist11
Internal Medicine1
Neuropsychiatry1
1 other specialty1

Nearest to this location (20)

See all 472
Clinical Social Worker
NPI 1639827934
2948 ARTESIAN RD
Naperville, IL 60564
(630) 328-0165
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1487165197
2948 ARTESIAN RD STE 112
Naperville, IL 60564
(630) 428-7890
✔ PECOSSame address
Clinical Social Worker
NPI 1518707819
2948 ARTESIAN RD STE 112
Naperville, IL 60564
(888) 282-5003
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1093474579
2948 ARTESIAN RD STE 112
Naperville, IL 60564
(630) 328-0168
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1831074509
2948 ARTESIAN RD STE 112
Naperville, IL 60564
(630) 428-7890
✔ PECOSSame address
Clinical Social Worker
NPI 1194240127
2948 ARTESIAN RD STE 112
Naperville, IL 60564
(630) 328-0165
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1093589699
2948 ARTESIAN RD STE 112
Naperville, IL 60564
(630) 428-7890
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1962957894
2948 ARTESIAN RD
Naperville, IL 60564
(630) 428-7890
✔ PECOSSame address
Marriage and Family Therapist
NPI 1619484425
2948 ARTESIAN RD STE 112
Naperville, IL 60564
(888) 428-7890
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1558124172
2948 ARTESIAN RD STE 112
Naperville, IL 60564
(630) 428-7890
✔ PECOSSame address
Mental Health Counselor
NPI 1427471465
2948 ARTESIAN RD STE 112
Naperville, IL 60564
(630) 428-7890
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1356837868
2948 ARTESIAN RD STE 112
Naperville, IL 60564
(630) 428-7890
✔ PECOSSame address
Clinical Social Worker
NPI 1821735994
2948 ARTESIAN RD STE 112
Naperville, IL 60564
(888) 428-7890
✔ PECOSSame address
Osteopathic Manipulative Medicine
NPI 1336600238
2948 ARTESIAN RD STE 112
Naperville, IL 60564
(630) 328-0165
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972004422
2948 ARTESIAN RD STE 112
Naperville, IL 60564
(630) 428-7890
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1851841779
2948 ARTESIAN RD STE 112
Naperville, IL 60564
(630) 428-7890
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457208704
2948 ARTESIAN RD STE 112
Naperville, IL 60564
(630) 328-0165
✔ PECOSSame address
Nurse Practitioner
NPI 1326920984
2948 ARTESIAN RD STE 112
Naperville, IL 60564
(630) 328-0165
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1013326719
2948 ARTESIAN RD STE 112
Naperville, IL 60564
(630) 428-7890
✔ PECOSSame address
Clinical Social Worker
NPI 1790389138
2948 ARTESIAN RD STE 112
Naperville, IL 60564
(630) 428-7890
✔ PECOS✔ Accepts MedicareSame address
See all 472 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgewood Clinical Services, P.C.'s NPI number?

The NPI number for Edgewood Clinical Services, P.C. is 1295914646. It was assigned to this organization in the NPPES registry on November 1, 2007. The provider is doing business as Lifestance.

Where is Edgewood Clinical Services, P.C. located?

Edgewood Clinical Services, P.C. is located at 2948 Artesian Rd Ste 112, Naperville, IL 60564. The listed phone number is (630) 428-7890.

What is Edgewood Clinical Services, P.C.'s specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Edgewood Clinical Services, P.C. enrolled in Medicare?

Yes. Edgewood Clinical Services, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edgewood Clinical Services, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 472 clinicians in 9 Medicare specialties reassign their Medicare billing to Edgewood Clinical Services, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (152), Clinical Social Worker (145) and Nurse Practitioner (90). Of these, 20 practice at this address and 108 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Edgewood Clinical Services, P.C. was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.