Organization Active NPI

Kos House Therapy, PLLC

  • Mental Health Counselor
  • Bentonville, AR
National Provider Identifier
1821816810
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KOS HOUSE THERAPY, PLLC
Practice address
2700 SE Otis Corley Dr Ste 14
Bentonville, AR 72712-4184
Phone
(479) 895-1313
Fax
(479) 397-4813
NPI assigned
Sep 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Kendyl Dawn Hovis, LPC-S
Title
Owner/ Mental Health Professional
Phone
(479) 895-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2700 SE Otis Corley Dr Ste 14
Bentonville, AR 72712-4184

Mailing address

2700 SE Otis Corley Dr Ste 14
Bentonville, AR 72712-4184
Phone (479) 895-1313

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1821816810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SE OTIS CORLEY DR STE 14",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124184",
            "telephone_number": "479-895-1313",
            "fax_number": "479-397-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SE OTIS CORLEY DR STE 14",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124184",
            "telephone_number": "479-895-1313",
            "fax_number": "479-397-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOS HOUSE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "HOVIS",
        "authorized_official_first_name": "KENDYL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER/ MENTAL  HEALTH PROFESSIONAL",
        "authorized_official_telephone_number": "479-895-1313",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

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