Individual provider Active NPI

Maureen E Skinner, LPE-I

  • Clinical Psychologist
  • Conway, AR
National Provider Identifier
1215208392
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
13-03EI Issued in AR
Practice address
1111 Harrison St
Conway, AR 72032-4339
Phone
(501) 500-4114
Fax
(501) 764-4555
NPI assigned
Jan 20, 2012
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 13-03EI AR Primary

Addresses

Primary practice location

1111 Harrison St
Conway, AR 72032-4339

Mailing address

5 Red Bud Dr
Conway, AR 72034-6119
Phone (501) 500-4114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13-03EIARMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Counseling, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Chenal Family Therapy, PLC Mental Health Past Accepting new patients
Les Smith PA Past Accepting new patients

Locations

1111 Harrison St
Conway, AR 72032
Phone (501) 500-4114

930 Wingate St
Ste E2
Conway, AR 72034
Phone (501) 642-0752

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1215208392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RED BUD DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346119",
            "telephone_number": "501-500-4114",
            "fax_number": "501-764-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HARRISON ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324339",
            "telephone_number": "501-500-4114",
            "fax_number": "501-764-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "MAUREEN",
        "middle_name": "E",
        "credential": "LPE-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "13-03EI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.