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DR. JODI FOURT PSYD
NPI 1053662445
Psychologist - Clinical in Roscoe, IL

Active since September 25, 2012PECOS Enrolled
5334 WILLIAMS DR, ROSCOE, IL 61073(224) 703-5595 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jodi Fourt Psyd NPPES

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

DR. JODI FOURT PSYD (NPI 1053662445) is an individual clinical provider in Roscoe, Illinois, licensed in Illinois (071.010162) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1053662445
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JODI FOURTCredential: PSYD
Location Address5334 WILLIAMS DRRoscoe, IL 61073-7320
Mailing Address13 Crossview CtLake In The Hills, IL 60156-5841 · (224) 703-5595
Phone(224) 703-5595
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 25, 2012
Last NPPES UpdateMay 4, 2020
NPPES CertifiedMay 4, 2020
✔ NPI 1053662445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.010162
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5334 WILLIAMS DR, Roscoe, IL 61073
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jodi Fourt Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294153110
PECOS Enrollment IDI20200909002063
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

ANDREA OLSON LCSW
Social Worker (Clinical)
5334 WILLIAMS DR
ROSCOE, IL 61073
Winnebago County (815) 871-0957
MARILYN RAMIREZ M.S. ED., LPC, NCC
Counselor (Mental Health)
5334 WILLIAMS DR
ROSCOE, IL 61073
Winnebago County (815) 243-0739
NANCY ANN HILL AMFT
Counselor (Mental Health)
5334 WILLIAMS DR
ROSCOE, IL 61073
Winnebago County (866) 813-6462
OLSON COUNSELING
Social Worker (Clinical)
5334 WILLIAMS DR
ROSCOE, IL 61073
Winnebago County (815) 871-0957

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 Jodi Fourt's NPI number?

The NPI number for Jodi Fourt is 1053662445. It was assigned to this individual provider in the NPPES registry on September 25, 2012.

Where is Jodi Fourt located?

Jodi Fourt practices at 5334 Williams Dr, Roscoe, IL 61073. The listed phone number is (224) 703-5595.

What is Jodi Fourt's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jodi Fourt enrolled in Medicare?

Yes. Jodi Fourt is registered in the Medicare PECOS enrollment system.

What insurance does Jodi Fourt accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Jodi Fourt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jodi Fourt was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.