Organization Active NPI

Soul (ER) Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sherwood, AR
National Provider Identifier
1396692190
Registry record updated Mar 12, 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
SOUL (ER) THERAPY
Practice address
8049 Austin Gardens CT
Sherwood, AR 72120-3446
Phone
(501) 471-7353
NPI assigned
Mar 12, 2026
Last updated
Mar 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Brea Symone Jarrett-Kelly, JARRETT-KELLYNPI 1922536895
Title
Owner
Phone
(501) 471-7353

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

8049 Austin Gardens CT
Sherwood, AR 72120-3446

Mailing address

8049 Austin Gardens CT
Sherwood, AR 72120-3446
Phone (501) 471-7353

Other identifiers 2

IdentifierTypeStateIssuer
10447COtherARLCSW
1922536895OtherARNPI

National Provider Directory

National Provider Directory

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": "1773273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1396692190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8049 AUSTIN GARDENS CT",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721203446",
            "telephone_number": "501-471-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8049 AUSTIN GARDENS CT",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721203446",
            "telephone_number": "501-471-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL (ER) THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "JARRETT-KELLY",
        "authorized_official_first_name": "BREA",
        "authorized_official_middle_name": "SYMONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-471-7353",
        "authorized_official_credential": "JARRETT-KELLY"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "10447C",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922536895",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.