MRS. LESLIE BARBARA ROBERTS
NPI 1265678338
Psychologist in Holland, MI

Active since December 19, 2008PECOS EnrolledAccepts Medicare Assignment
890 WASHINGTON AVE STE 150, HOLLAND, MI 49423(616) 460-0174 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 23, 2021, Nov 15, 2020, Jul 25, 2019 (3 updates tracked since 2019).

About Mrs. Leslie Barbara Roberts NPPES

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

MRS. LESLIE BARBARA ROBERTS (NPI 1265678338) is an individual psychologist in Holland, Michigan, licensed in Michigan (6351004229) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265678338
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMRS. LESLIE BARBARA ROBERTS
Location Address890 WASHINGTON AVE STE 150Holland, MI 49423-7731
Mailing Address890 Washington Ave Ste 150Holland, MI 49423-7731 · (616) 460-0174
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 19, 2008
Last NPPES UpdateJuly 23, 20213 updates tracked since enumeration
NPPES CertifiedJuly 23, 2021
✔ NPI 1265678338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MI · 6351004229
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 6301012799 (MI)
890 WASHINGTON AVE STE 150, Holland, MI 49423

Other Names 1

Professional Name (2)Leslie Barbara Bolt

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Leslie Barbara Roberts is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012329089
PECOS Enrollment IDI20211220000644
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Leslie Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
400 136TH AVE STE 416
Holland, MI 49424
  • Reassigned Medicare billing, Michigan enrollment
  • 17 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
890 WASHINGTON AVE STE 150
HOLLAND, MI 49423
Social Worker (Clinical)
890 WASHINGTON AVE STE 150
HOLLAND, MI 49423
Counselor (School)
890 WASHINGTON AVE STE 150
HOLLAND, MI 49423
Social Worker (Clinical)
890 WASHINGTON AVE STE 150
HOLLAND, MI 49423
Social Worker
890 WASHINGTON AVE STE 150
HOLLAND, MI 49423
Social Worker (Clinical)
890 WASHINGTON AVE STE 150
HOLLAND, MI 49423
Social Worker (Clinical)
890 WASHINGTON AVE STE 150
HOLLAND, MI 49423
Social Worker (Clinical)
890 WASHINGTON AVE STE 150
HOLLAND, MI 49423

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 Leslie Roberts's NPI number?

The NPI number for Leslie Roberts is 1265678338. It was assigned to this individual provider in the NPPES registry on December 19, 2008. The provider is also known as Leslie Barbara Bolt.

Where is Leslie Roberts located?

Leslie Roberts practices at 890 Washington Ave Ste 150, Holland, MI 49423. The listed phone number is (616) 460-0174.

What is Leslie Roberts's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Leslie Roberts enrolled in Medicare?

Yes. Leslie Roberts is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Leslie Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leslie Roberts reassigns Medicare benefits to West Michigan Psychological Services LLC (Holland, MI). The 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 Leslie Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leslie Roberts accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Leslie Roberts as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leslie Roberts was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.