Jennifer Hoffarth, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

512 Issued in ND

Practice address

218 4TH St NW Ste 1
Devils Lake, ND 58301-2930

Phone

(701) 662-8255

Fax

(701) 662-1739

NPI assigned

May 13, 2015

Last updated

Aug 1, 2023By the provider in NPPES

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 Jordan Former name

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Devils Lake Psychological Services PLLCGroup PAC ID 2163773896, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Devils Lake Psychological Services, PLLC

  • Clinical Psychologist
  • Devils Lake, ND
  • NPI 1023598083
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1790163566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 4TH ST NW STE 1",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012930",
            "telephone_number": "701-662-8255",
            "fax_number": "701-662-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 4TH ST NW STE 1",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012930",
            "telephone_number": "701-662-8255",
            "fax_number": "701-662-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFARTH",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ND",
            "license": "512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JORDAN",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Misty Dawn Hillebrand
• Mariah Hodges
• Stephanie Lin Hodous, MS CCCSLP
• Cheri Hoffart
• Jason Hoffart
• Allison Hofstad, OTR
• Angela M Holtz, LSW
• Jennifer Holtz, CDSP
• Leann Marie Hood
• Hope Unlimited Inc

• Clinical Psychologist in Devils Lake, ND
• Providers in Devils Lake, ND by specialty
• Clinical Psychologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.