Organization Active NPI

Northwest Arkansas Assessment and Therapy Services, PLLC

  • Clinical Psychologist
  • Fayetteville, AR
National Provider Identifier
1265860985
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
08-10E Issued in AR
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

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Jennifer Moffitt, MANPI 1669642989
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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"
        }
    ]
}

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 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.

Verify at the official NPI Registry.