Active NPI
Northwest Arkansas Assessment and Therapy Services, PLLC
- Clinical Psychologist
- Fayetteville, AR
National Provider Identifier
1265860985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 08-10E
- Legal business name
- NORTHWEST ARKANSAS ASSESSMENT AND THERAPY SERVICES, PLLC
- Practice address
- 26 E Meadow St Ste 1
Fayetteville, AR 72701-5357 - Phone
- (479) 790-6290
- NPI assigned
- Oct 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Moffitt, MA
- Title
- Lpe-I
- Phone
- (479) 790-6290
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 08-10E | AR | Primary |
Addresses
Primary practice location
26 E Meadow St Ste 1
Fayetteville, AR 72701-5357
Mailing address
PO Box 10681
Fayetteville, AR 72703-0046
Phone (479) 790-6290
Other names 1
- NWAATS, PLLC
National Provider Directory
National Provider DirectoryLocations
26 E Meadow St
Ste 1
Fayetteville, AR 72701
Phone (479) 790-6290
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Fayetteville, AR
- NPI 1669642989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782950400000",
"number": "1265860985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10681",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727030046",
"telephone_number": "479-790-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 E MEADOW ST STE 1",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727015357",
"telephone_number": "479-790-6290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST ARKANSAS ASSESSMENT AND THERAPY SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-15",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A",
"authorized_official_last_name": "MOFFITT",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "LPE-I",
"authorized_official_telephone_number": "479-790-6290",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "AR",
"license": "08-10E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NWAATS, PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Jason Nordstrom, MS, CCC-SLP
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- Northhills Dermatology
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- Northstar Partnering Group, LLC
- Northwest Arkansas Center for Autism & Developmental Disabilities
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- Northwest Arkansas Heart & Vascular Center
- Northwest Arkansas Id Specialists PA
- Northwest Arkansas Medical Imaging, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.