Organization Active NPI

The Ethan Project of Texas Corporation

  • Speech-Language Pathologist
  • Amarillo, TX
National Provider Identifier
1568379998
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
THE ETHAN PROJECT OF TEXAS CORPORATION
Practice address
100 Crockett St
Amarillo, TX 79106-8346
Phone
(806) 877-2459
Fax
(806) 367-5530
NPI assigned
Aug 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Carolyn Smith, CRED/BILLING
Title
Credentialing/Billing
Phone
(806) 674-5818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

100 Crockett St
Amarillo, TX 79106-8346

Mailing address

100 Crockett St
Amarillo, TX 79106-8346
Phone (806) 877-2459

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1568379998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CROCKETT ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791068346",
            "telephone_number": "806-877-2459",
            "fax_number": "806-367-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CROCKETT ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791068346",
            "telephone_number": "806-877-2459",
            "fax_number": "806-367-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ETHAN PROJECT OF TEXAS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CREDENTIALING/BILLING",
        "authorized_official_telephone_number": "806-674-5818",
        "authorized_official_credential": "CRED/BILLING"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.