Individual provider Active NPI

Ethan Lyles, LAC

  • Mental Health Counselor
  • Hot Springs, AR
National Provider Identifier
1124807938
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A2509003 Issued in AR
Practice address
1820 Central Ave
Hot Springs, AR 71901-7199
Phone
(501) 463-4627
NPI assigned
Sep 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A2509003 AR Primary

Addresses

Primary practice location

1820 Central Ave
Hot Springs, AR 71901-7199

Mailing address

1820 Central Ave Ste E
Hot Springs, AR 71901-6898
Phone (501) 463-4627

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

LicenseStateTypeSpecialty
A2509003ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Counseling Services, Inc. Mental Health CurrentSince Nov 24, 2025 Accepting new patients
Living Hope Southeast, LLC Mental Health CurrentSince Sep 24, 2023 Accepting new patients
Ideal Option, PLLC PastSince Nov 24, 2025 Accepting new patients

Locations

3604 Central Ave
Ste C
Hot Springs, AR 71913
Phone (501) 623-9220

1820 Central Ave
Ste E
Hot Springs National Park, AR 71901
Phone (501) 463-4627

10025 W Markham St
Ste 210
Little Rock, AR 72205
Phone 5016635473 ext. 443

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/lhsoutheast/r4/

Organizations & group practices 3

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": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1124807938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 CENTRAL AVE STE E",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016898",
            "telephone_number": "501-463-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 CENTRAL AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017199",
            "telephone_number": "501-463-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYLES",
        "first_name": "ETHAN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2509003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.