Active NPI
Ethan Williams, LPC
- Professional Counselor
- Little Rock, AR
National Provider Identifier
1104152800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1808100
- Practice address
- 1900 N Bryant St Ste 200
Little Rock, AR 72207-5022 - Phone
- (501) 444-2854
- NPI assigned
- Oct 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P1808100 | AR | Primary |
Addresses
Primary practice location
1900 N Bryant St Ste 200
Little Rock, AR 72207-5022
Mailing address
1900 N Bryant St Ste 200
Little Rock, AR 72207-5022
Phone (501) 444-2854
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1808100 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1104152800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 N BRYANT ST STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722075022",
"telephone_number": "501-444-2854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 N BRYANT ST STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722075022",
"telephone_number": "501-444-2854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ETHAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-30",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1808100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.