JODI M FOURT
NPI 1376235184
Psychologist - Clinical in Elgin, IL
About Jodi M Fourt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JODI M FOURT (NPI 1376235184) is a healthcare organization registered as a clinical in Elgin, Illinois and active in the NPI registry since May 2023. The organization lists Jodi Fourt, Sole Proprietor/psyd, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jodi M Fourt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Jodi M Fourt, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 M Fourt's NPI number?
The NPI number for Jodi M Fourt is 1376235184. It was assigned to this organization in the NPPES registry on May 22, 2023.
Where is Jodi M Fourt located?
Jodi M Fourt is located at 1530 N Randall Rd Ste 220, Elgin, IL 60123. The listed phone number is (224) 703-5595.
What is Jodi M Fourt's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jodi M Fourt enrolled in Medicare?
Yes. Jodi M Fourt is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jodi M Fourt?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jodi M Fourt, in Clinical Psychologist and Mental Health Counselor. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jodi M Fourt was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jodi M Fourt · NPI 1376235184
Clinical organization in Elgin, Illinois. Organization record, active in the CMS NPPES registry since May 22, 2023.
## Identity
- **NPI:** 1376235184 (Entity type: Organization)
- **Enumerated:** May 22, 2023
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Jodi Fourt, SOLE PROPRIETOR/PSYD
## Practice location
- **Address:** 1530 N RANDALL RD STE 220, Elgin, IL 60123-7879
- **Phone:** (224) 703-5595
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (1), Mental Health Counselor (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1376235184) · Data from the CMS NPPES public registry.