Jennifer Moffitt, LPE-I

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

08-10EI Issued in AR

Practice address

26 E Meadow St Ste 1
Fayetteville, AR 72701-5357

Phone

(479) 790-6290

Fax

(479) 439-9943

NPI assigned

Mar 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Ewbank Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Northwest Arkansas Assessment and Therapy Services, PLLC

  • Clinical Psychologist
  • Fayetteville, AR
  • NPI 1265860985
  NPD Authorized official

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1669642989",
    "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",
            "fax_number": "855-691-0404"
        },
        {
            "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",
            "fax_number": "479-439-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "JENNIFER",
        "credential": "LPE-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "08-10EI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "EWBANK",
            "credential": "LPE-I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Whitney Paige Mobley, APRN, FNP-C, FNP-BC
• Jennifer Noelle Moclair, PHARMD, RPH
• Modern Medicine PLLC
• Rachel Anne Modersitzki, DO
• Sophia M Moes, RD
• Charles Mohr
• Sandra M Mondragon
• William Lang Money Jr., M.D.
• Sherrie Kay Montellano, PA-C
• Anne Gaston Montgomery, M.D.

• Clinical Psychologist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Clinical Psychologist in Arkansas

• 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.