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LIFE BALANCE COUNSELING AND WELLNESS INC
NPI 1912409681
Social Worker - Clinical in La Salle, IL

Active since March 08, 2018
2428 CHARTRES ST, LA SALLE, IL 61301(309) 830-1096 Get Directions Write a Review

NPPES record last updated: March 8, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Life Balance Counseling And Wellness Inc NPPES

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

LIFE BALANCE COUNSELING AND WELLNESS INC (NPI 1912409681) is a healthcare organization registered as a clinical in La Salle, Illinois and active in the NPI registry since March 2018. The organization lists Danielle Stoddard, President, as its authorized official.

NPPES Registry Identity

NPI1912409681
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIFE BALANCE COUNSELING AND WELLNESS INC
Location Address2428 CHARTRES STLa Salle, IL 61301-1107
Mailing Address418 Oak StSpring Valley, IL 61362-2327
Phone(309) 830-1096
Organization SubpartNo
Authorized OfficialDanielle StoddardPresident · (309) 830-1096
Enumeration DateMarch 8, 2018
✔ NPI 1912409681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2428 CHARTRES ST, La Salle, IL 61301
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Life Balance Counseling And Wellness Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Life Balance Counseling And Wellness Inc, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 4

Clinical Social Worker5
Mental Health Counselor2
Nurse Practitioner2
Psychiatry1

Clinicians, nearest first (10)

Jessica Dergance, LCSW
Clinical Social Worker
NPI 1811293095
2428 CHARTRES ST
La Salle, IL 61301
(815) 780-8765
✔ PECOS✔ Accepts MedicareSame address
Lauren Holt, LCPC
Mental Health Counselor
NPI 1174027148
2428 CHARTRES ST
La Salle, IL 61301
(309) 830-1096
✔ PECOS✔ Accepts MedicareSame address
Jani Hurst
Clinical Social Worker
NPI 1104645449
2428 CHARTRES ST
La Salle, IL 61301
(815) 780-8765
✔ PECOS✔ Accepts MedicareSame address
Traci Midnight, LCSW
Clinical Social Worker
NPI 1528503018
2428 CHARTRES ST
La Salle, IL 61301
(815) 780-8765
✔ PECOS✔ Accepts MedicareSame address
Lexi Piccatto
Clinical Social Worker
NPI 1649838418
2428 CHARTRES ST
La Salle, IL 61301
(815) 780-8765
✔ PECOS✔ Accepts MedicareSame address
Abbey Simmons, LCSW
Clinical Social Worker
NPI 1215459391
2428 CHARTRES ST
La Salle, IL 61301
(815) 780-8765
✔ PECOS✔ Accepts MedicareSame address
Danielle Stoddard, LCPC
Mental Health Counselor
NPI 1902956220
2428 CHARTRES ST
La Salle, IL 61301
(815) 780-8765
✔ PECOS✔ Accepts MedicareSame address
Josie Dawe, RN, CPNP
Nurse Practitioner
NPI 1255713236
4580 WEAVER PKWY STE 102
Warrenville, IL 60555
(630) 839-9199
✔ PECOS✔ Accepts Medicare58 mi
Alicia Stoddard Foley, PMHNP-BC
Psychiatry
NPI 1962236224
15 DOWNING CIR
Bloomington, IL 61704
(815) 303-4560
✔ PECOS✔ Accepts Medicare63 mi
Victoria Brueggert
Nurse Practitioner
NPI 1992231260
1 MEDICAL CENTER DR
Galena, IL 61036
(815) 777-1340
✔ PECOS✔ Accepts Medicare103 mi

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 Life Balance Counseling And Wellness Inc's NPI number?

The NPI number for Life Balance Counseling And Wellness Inc is 1912409681. It was assigned to this organization in the NPPES registry on March 8, 2018.

Where is Life Balance Counseling And Wellness Inc located?

Life Balance Counseling And Wellness Inc is located at 2428 Chartres St, La Salle, IL 61301. The listed phone number is (309) 830-1096.

What is Life Balance Counseling And Wellness Inc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Life Balance Counseling And Wellness Inc enrolled in Medicare?

Yes. Life Balance Counseling And Wellness Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Balance Counseling And Wellness Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Life Balance Counseling And Wellness Inc. 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 Clinical Social Worker (5), Mental Health Counselor (2) and Nurse Practitioner (2). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Life Balance Counseling And Wellness Inc was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.