Individual provider Active NPI

Leslie R Viltz

  • Professional Counselor
  • Lafayette, LA
National Provider Identifier
1821506643
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8110 Issued in LA
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110001275 LA Practitioner - Mental Health Counselor 7810348273 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
8110LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life Recovery LLC Mental Health Current Accepting new patients
Azalea Health Services Texas LLC CurrentSince Feb 9, 2026 Accepting new patients
Azalea Health Services CurrentSince Feb 9, 2026 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Jan 10, 2026 Accepting new patients
Insight Guidance Group Mental Health PastSince Oct 1, 2020 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.

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

Verify at the official NPI Registry.