Lesli Annette-Elkins Baltz, LCSW, LPE-I

Primary specialty

PsychologistTaxonomy code 103T00000X

License

11-11EI Issued in AR

Practice address

2808 Fox Meadow Lane
Jonesboro, AR 72404-9346

Phone

(870) 932-4245

Fax

(870) 931-4457

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Lesli Annette Elkins Former name

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Families, Inc of Arkansas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesboro, AR
  • NPI 1770535569
  Medicare reassignment NPD
• Families, Inc. of Arkansas

  dba Families, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paragould, AR
  • NPI 1386728681
  NPD
• The Learning Center of Northeast Arkansas, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Jonesboro, AR
  • NPI 1376671008
  NPD (past)
• The Learning Center of Northeast Arkansas, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Jonesboro, AR
  • NPI 1497416242
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1992841654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 FOX MEADOW LANE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049346",
            "telephone_number": "870-932-4245",
            "fax_number": "870-931-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 FOX MEADOW LANE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049346",
            "telephone_number": "870-932-4245",
            "fax_number": "870-931-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTZ",
        "first_name": "LESLI",
        "middle_name": "ANNETTE-ELKINS",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LPE-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2290-C",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "11-11EI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272861719",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174447795",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5R093",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLI",
            "last_name": "ELKINS",
            "middle_name": "ANNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori Ballard
• Marcus Anthong Ballard, PTA
• Breanna Ballew
• Megan A Baltz-Seawel, MHPP
• Douglas A Baltz, PHARMD
• Mark Baltz, M.D.
• Virginia Baltz, CRNA
• Nicole Bane, QBHP
• Heather Lynn Banks, QBHP
• Javana Latrice Banks, LPC

• Psychologist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.