Organization Active NPI

Ethos Treatment LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • West Chester, PA
National Provider Identifier
1306359906
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
157771 Issued in PA
Legal business name
ETHOS TREATMENT LLC
Practice address
770 E Market St Ste 220
West Chester, PA 19382-4804
Phone
(267) 669-0300
Fax
(267) 604-0202
NPI assigned
Nov 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Katelyn Fisher
Title
Director of Operations
Phone
(267) 669-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 157771 PA Primary

Addresses

Primary practice location

770 E Market St Ste 220
West Chester, PA 19382-4804

Mailing address

3031A Walton Rd Ste 300
Plymouth Meeting, PA 19462-2386
Phone (267) 669-0300

Other practice location 1

1528 Walnut St Ste 510
Philadelphia, PA 19102-3606
Phone (267) 669-0300

Other practice location 2

1077 Rydal Rd Ste 107
Jenkintown, PA 19046-1712
Phone (267) 669-0300

Other practice location 3

2000 Sproul Rd Ste 102
Broomall, PA 19008-3509
Phone (267) 669-0300

Other practice location 4

1150 Berkshire Blvd Ste 110
Wyomissing, PA 19610-1208
Phone (267) 669-0300

Other practice location 5

3031A Walton Rd Ste 300
Plymouth Meeting, PA 19462-2386
Phone (267) 669-0300

Other practice location 6

409 Second Ave Ste 202
Collegeville, PA 19426-3602
Phone (267) 669-0300

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2345295Ethos Treatment, LLC1077 Rydal Rd, Ste 107, Jenkintown, PA 19046Certificate of waiverJun 7, 2028
39D2345342Ethos Treatment, LLC1150 Berkshire Blvd, Ste 110, Wyomissing, PA 19610Certificate of waiverJun 8, 2028
39D2345362Ethos Treatment LLC409 2ND Ave, Ste 202, Collegeville, PA 19426Certificate of waiverJun 8, 2028
39D2345368Ethos Treatment LLC1528 Walnut St, Ste 510, Philadelphia, PA 19102Certificate of waiverJun 8, 2028
39D2345404Ethos Treatment, LLC2000 Sproul Rd, Ste 102, Broomall, PA 19008Certificate of waiverJun 9, 2028

National Provider Directory

National Provider Directory

Locations

2000 Sproul Rd
Ste 102
Broomall, PA 19008
Phone (267) 496-4780

409 Second Ave
Ste 202
Collegeville, PA 19426
Phone (610) 489-5772

1077 Rydal Rd
Ste 107
Jenkintown, PA 19046

1528 Walnut St
Ste 510
Philadelphia, PA 19102

3031A Walton Rd
Ste 300
Plymouth Meeting, PA 19462

770 E Market St
Ste 220
West Chester, PA 19382
Phone (410) 202-6804

1150 Berkshire Blvd
Ste 110
Wyomissing, PA 19610

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1306359906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031A WALTON RD STE 300",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622386",
            "telephone_number": "267-669-0300",
            "fax_number": "267-604-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 E MARKET ST STE 220",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824804",
            "telephone_number": "267-669-0300",
            "fax_number": "267-604-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1528 Walnut St Ste 510",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191023606",
            "country_code": "US",
            "telephone_number": "267-669-0300",
            "fax_number": "267-604-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1077 Rydal Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Jenkintown",
            "state": "PA",
            "postal_code": "190461712",
            "country_code": "US",
            "telephone_number": "267-669-0300",
            "fax_number": "267-604-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Sproul Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Broomall",
            "state": "PA",
            "postal_code": "190083509",
            "country_code": "US",
            "telephone_number": "267-669-0300",
            "fax_number": "267-604-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 Berkshire Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196101208",
            "country_code": "US",
            "telephone_number": "267-669-0300",
            "fax_number": "267-604-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3031A Walton Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Plymouth Meeting",
            "state": "PA",
            "postal_code": "194622386",
            "country_code": "US",
            "telephone_number": "267-669-0300",
            "fax_number": "267-604-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "409 Second Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Collegeville",
            "state": "PA",
            "postal_code": "194263602",
            "country_code": "US",
            "telephone_number": "267-669-0300",
            "fax_number": "267-604-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ETHOS TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "267-669-0300"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "157771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.