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JACOB MOULIERT
NPI 1417628280
Counselor - Professional in Lancaster, PA

Active since September 22, 2021PECOS Enrolled
1817 OLDE HOMESTEAD LN, LANCASTER, PA 17601(223) 275-3158 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Mouliert NPPES

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

JACOB MOULIERT (NPI 1417628280) is an individual professional provider in Lancaster, Pennsylvania, licensed in Pennsylvania (PC017036) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417628280
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACOB MOULIERT
Location Address1817 OLDE HOMESTEAD LNLancaster, PA 17601-6751
Mailing Address14 Roselle AveLancaster, PA 17603-6698 · (609) 432-3081
Phone(223) 275-3158
Sole ProprietorNo
Enumeration DateSeptember 22, 2021
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 3, 2025
✔ NPI 1417628280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC017036
Also ListedCounselorTaxonomy 101Y00000X
1817 OLDE HOMESTEAD LN, Lancaster, PA 17601
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Mouliert is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 6

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

CYNTHIA ANN KEYSOCK LPN
Licensed Practical Nurse
1817 OLDE HOMESTEAD LN, SUITE 201
LANCASTER, PA 17601
Lancaster County (717) 394-3466
MRS. ANNE H HOHENWARTER M.S., L.P.C.
Counselor (Professional)
1817 OLDE HOMESTEAD LN, SUITE 201
LANCASTER, PA 17601
Lancaster County (717) 394-3466
MS. ELIZABETH ANNE ROHRER OTR/L
Occupational Therapist
1817 OLDE HOMESTEAD LN, SUITE 201
LANCASTER, PA 17601
Lancaster County (717) 394-3466
DR. DIXON H MILLER PH.D.
Clinical Neuropsychologist
1817 OLDE HOMESTEAD LN, SUITE 201
LANCASTER, PA 17601
Lancaster County (717) 394-3466
MRS. THERESA ANNE MEISENBACH COTA/L
Occupational Therapy Assistant
1817 OLDE HOMESTEAD LN, SUITE 201
LANCASTER, PA 17601
Lancaster County (717) 394-3466
ACADIA, INC.
Occupational Therapist
1817 OLDE HOMESTEAD LN, SUITE 201
LANCASTER, PA 17601
Lancaster County (717) 394-3466

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 Jacob Mouliert's NPI number?

The NPI number for Jacob Mouliert is 1417628280. It was assigned to this individual provider in the NPPES registry on September 22, 2021.

Where is Jacob Mouliert located?

Jacob Mouliert practices at 1817 Olde Homestead Ln, Lancaster, PA 17601. The listed phone number is (223) 275-3158.

What is Jacob Mouliert's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jacob Mouliert enrolled in Medicare?

Yes. Jacob Mouliert is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Mouliert was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.