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

Q: 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.

Q: What is Jodi Fourt's specialty?

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

Q: 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.

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: October 25, 2026.

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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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Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Jodi Fourt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jodi M Fourt

43 mi

Clinical

1530 N RANDALL RD STE 220
Elgin, IL 60123

Reassigned Medicare billing, Illinois enrollment
2 clinicians in this Medicare group

NPI 1376235184 (224) 703-5595

Vitae Health Medical Illinois, PLLC

72 mi

Internal Medicine

3450 OAKTON ST
Skokie, IL 60076

Reassigned Medicare billing, Illinois enrollment
491 clinicians in this Medicare group

NPI 1174013452 (224) 777-8034

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

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.

Which organizations bill Medicare for Jodi Fourt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jodi Fourt reassigns Medicare benefits to 2 organizations: Jodi M Fourt (Elgin, IL) and Vitae Health Medical Illinois, PLLC (Skokie, IL). Each 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 Jodi Fourt'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 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.