Ethos Treatment Outpatient, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

ETHOS TREATMENT OUTPATIENT, LLC

Practice address

3031A Walton Rd
Plymouth Meeting, PA 19462-2344

Phone

(267) 669-0300

NPI assigned

Jun 17, 2025

Last updated

Jun 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathryn Faust

Title

Director of Compliance

Phone

(609) 500-4815

Specialties & licenses 1

Addresses

Locations

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.

• John Toth Jr., LPC

  • Counselor
  • Plymouth Meeting, PA
  • NPI 1538848452
  NPD

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1659267433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 WALTON RD STE A300",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622386",
            "telephone_number": "267-669-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031A WALTON RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622344",
            "telephone_number": "267-669-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHOS TREATMENT OUTPATIENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "FAUST",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "609-500-4815"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara Essey
• Joelle Essombe, LPN
• Amy Esterly, PTA
• Marc Daryl Tan Estioko, M.D.
• Anita Etheredge
• Ellie Stacey Ettman, LPC
• Melannie Evangelista, RN
• Bernardine Evans, PT,DPT,GCS
• Callie J Evans
• Danielle E. Evans, CNA

• Counselor in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.