Organization Active NPI

Ethos Psychotherapy and Wellness LLC

  • Clinical Social Worker
  • Fayetteville, AR
National Provider Identifier
1669386942
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ETHOS PSYCHOTHERAPY AND WELLNESS LLC
Practice address
31 E Center St Ste 200B
Fayetteville, AR 72701-5365
Phone
(501) 318-8812
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Emily Smith
Title
Ceo
Phone
(501) 318-8812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

31 E Center St Ste 200B
Fayetteville, AR 72701-5365

Mailing address

31 E Center St Ste 200B
Fayetteville, AR 72701-5365

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1669386942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E CENTER ST STE 200B",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E CENTER ST STE 200B",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015365",
            "telephone_number": "501-318-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHOS PSYCHOTHERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-318-8812"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.