Active NPI
Leslie R Viltz
- Professional Counselor
- Lafayette, LA
National Provider Identifier
1821506643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8110
- Practice address
- 1010 Auburn Ave
Lafayette, LA 70503-2308 - Phone
- (318) 742-3408
- Fax
- (337) 261-9080
- NPI assigned
- Jan 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | |||
| Professional Counselor | 101YP2500X | 8110 | LA | Primary |
| Mental Health Counselor | 101YM0800X | |||
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 8110 | LA | |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
1010 Auburn Ave
Lafayette, LA 70503-2308
Mailing address
1000 Chinaberry Dr Ste 900
Bossier City, LA 71111-2455
Phone (337) 212-7701
Other practice location 1
1150 Reservoir Ave Ste 203
Cranston, RI 02920-6032
Phone (401) 259-0340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2000 Banks Rd
Suite 220
Margate, FL 33063-7732
PO Box
Suite 738012
Dallas, TX 75373-8012
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8110 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Recovery LLC | Mental Health | Current | Accepting new patients |
| Azalea Health Services Texas LLC | Current | Accepting new patients | |
| Azalea Health Services | Current | Accepting new patients | |
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
| Insight Guidance Group | Mental Health | Past | Accepting new patients |
Locations
2901 Ridgelake Dr
Ste 104
Metairie, LA 70002
Phone (504) 350-2750
Organizations & group practices 5
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.
-
- Clinical Social Worker
- Lafayette, LA
- NPI 1043999170
-
- Mental Health Counselor
- Lafayette, LA
- NPI 1710868138
-
- Clinical Social Worker
- New Braunfels, TX
- NPI 1326871807
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lafayette, LA
- NPI 1871957787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1821506643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CHINABERRY DR STE 900",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112455",
"telephone_number": "337-212-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 AUBURN AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032308",
"telephone_number": "318-742-3408",
"fax_number": "337-261-9080"
}
],
"practiceLocations": [
{
"address_1": "1150 Reservoir Ave Ste 203",
"address_purpose": "LOCATION",
"city": "Cranston",
"state": "RI",
"postal_code": "029206032",
"country_code": "US",
"telephone_number": "401-259-0340",
"fax_number": "401-213-8538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILTZ",
"first_name": "LESLIE",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-15",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "8110",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": "8110",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.