Organization Active NPI

Arrowstar Living Assistance Services

  • Community/Behavioral Health Agency
  • Lake Village, AR
National Provider Identifier
1952964140
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ARROWSTAR LIVING ASSISTANCE SERVICES
Practice address
1659 S Highway 65 82
Lake Village, AR 71653-1661
Phone
(870) 632-7099
NPI assigned
Apr 15, 2019
Last updated
Oct 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Ethel Fredrickson
Title
Ceo
Phone
(870) 632-7099

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1659 S Highway 65 82
Lake Village, AR 71653-1661

Mailing address

412 N Highway 65 82
Lake Village, AR 71653-1661
Phone (870) 632-7099

National Provider Directory

National Provider Directory

Locations

1659 S Highway 65 82
Lake Village, AR 71653
Phone (870) 265-4191

412 N Highway 65
#82
Lake Village, AR 71653

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1952964140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N HIGHWAY 65 82",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "716531661",
            "telephone_number": "870-632-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 S HIGHWAY 65 82",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "716531661",
            "telephone_number": "870-632-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWSTAR LIVING ASSISTANCE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "FREDRICKSON",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-632-7099"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Village, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.