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JONATHAN D MOE MS
NPI 1053653246
Counselor - Mental Health in Cortland, NY

Active since March 26, 2013PECOS EnrolledAccepts Medicare Assignment
10 N MAIN ST, CORTLAND, NY 13045(607) 753-0234(607) 753-0286 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jonathan D Moe Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN D MOE MS (NPI 1053653246) is an individual mental health provider in Cortland, New York, licensed in New York (007454-01) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1053653246
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJONATHAN D MOECredential: MS
Location Address10 N MAIN STCortland, NY 13045-2130
Mailing Address10 N Main StCortland, NY 13045-2130 · (607) 753-0234 · Fax (607) 753-0286
Phone(607) 753-0234
Fax(607) 753-0286
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 26, 2013
Last NPPES UpdateJanuary 14, 2022
NPPES CertifiedJanuary 14, 2022
✔ NPI 1053653246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 007454-01
10 N MAIN ST, Cortland, NY 13045
Open in Google Maps ↗

Other Identifiers 1

Medicaid1336163963NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan D Moe Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860829165
PECOS Enrollment IDI20240118001959
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Moe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry Services Of New York PC
33 mi
Counseling
3300 JAMES ST STE 100
Syracuse, NY 13206
  • Reassigned Medicare billing, New York enrollment
  • 47 clinicians in this Medicare group
NPI 1013781871 (315) 422-0300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULA CURRIE RN
Registered Nurse
10 N MAIN ST
CORTLAND, NY 13045
Cortland County (607) 753-0234
MS. SUZETTE MARIE SULLIVAN LCSW
Social Worker (Clinical)
10 N MAIN ST
CORTLAND, NY 13045
Cortland County (607) 753-0234
MS. ROBERTA L VALENTINE LCSWR
Social Worker (Clinical)
10 N MAIN ST
CORTLAND, NY 13045
Cortland County (607) 753-0234
VICTORIA ALTAMURA
Student in an Organized Health Care Education/Training Program
10 N MAIN ST
CORTLAND, NY 13045
Cortland County (607) 753-0234
MRS. KELLEY G BROWN LCSW
Counselor (Mental Health)
10 N MAIN ST
CORTLAND, NY 13045
Cortland County (607) 753-0234
ABIGAIL A WITHERS MSW
Counselor (Addiction (Substance Use Disorder))
10 N MAIN ST
CORTLAND, NY 13045
Cortland County (607) 753-0234
SUSAN NEWTON WILLIAMS LMSW
Social Worker
10 N MAIN ST, FAMILY COUNSELING SERVICES
CORTLAND, NY 13045
Cortland County (607) 753-0234
KIRSTEN KEACH MFT LP
Counselor
10 N MAIN ST
CORTLAND, NY 13045
Cortland County (607) 753-0234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Moe's NPI number?

The NPI number for Jonathan Moe is 1053653246. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Jonathan Moe located?

Jonathan Moe practices at 10 N Main St, Cortland, NY 13045. The listed phone number is (607) 753-0234.

What is Jonathan Moe's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jonathan Moe enrolled in Medicare?

Yes. Jonathan Moe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jonathan Moe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Moe reassigns Medicare benefits to Psychiatry Services Of New York PC (Syracuse, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Moe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Moe was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.