Individual provider Active NPI

Joann Tejumola Baly, LCSW

  • Clinical Social Worker
  • Katy, TX
National Provider Identifier
1174223754
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107400 Issued in TX
Practice address
3743 Bridgebluff LN
Katy, TX 77449-0166
Phone
(281) 216-4586
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 107400 TX
Clinical Social Worker 1041C0700X 107400 TX Primary

Addresses

Primary practice location

3743 Bridgebluff LN
Katy, TX 77449-0166

Mailing address

3743 Bridgebluff LN
Katy, TX 77449-0166
Phone (281) 216-4586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909002291 TX Practitioner - Clinical Social Worker 7517407281 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107400TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life Balance Holistic Therapy PLLC Clinical CurrentSince Apr 12, 2026 Accepting new patients

Locations

21510 Kingsland Blvd
Ste 105
Katy, TX 77450
Phone (281) 822-2527

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1174223754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3743 BRIDGEBLUFF LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774490166",
            "telephone_number": "281-216-4586",
            "fax_number": "281-822-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3743 BRIDGEBLUFF LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774490166",
            "telephone_number": "281-216-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALY",
        "first_name": "JOANN",
        "middle_name": "TEJUMOLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "107400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.