Organization Active NPI

New Equinox Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fayetteville, AR
National Provider Identifier
1003614090
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEW EQUINOX INC
Practice address
229 N Block Ave
Fayetteville, AR 72701-5204
Phone
(479) 310-0061
NPI assigned
Mar 5, 2025
Last updated
Feb 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Camille Boswell, LPCNPI 1053788877
Title
Professional Counselor/Owner
Phone
(479) 310-0061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

229 N Block Ave
Fayetteville, AR 72701-5204

Mailing address

PO Box 324
Fayetteville, AR 72702-0324
Phone (479) 310-0061

National Provider Directory

National Provider Directory

Locations

240 N Block Ave
Fayetteville, AR 72701
Phone (479) 879-5143

240 N Block Ave
Ste 307
Fayetteville, AR 72701

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1003614090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 324",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727020324",
            "telephone_number": "479-310-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N BLOCK AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015204",
            "telephone_number": "479-310-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW EQUINOX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "BOSWELL",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR/OWNER",
        "authorized_official_telephone_number": "479-310-0061",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.