JUSTIN CONRAD KOENITZER PSYD
NPI 1578824421
Psychologist - Clinical in Rockledge, FL

Active since June 06, 2012PECOS EnrolledAccepts Medicare Assignment
220 BARTON BLVD, UNIT C14, ROCKLEDGE, FL 32955(321) 639-5177(321) 639-4927 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Justin Conrad Koenitzer Psyd NPPES

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

JUSTIN CONRAD KOENITZER PSYD (NPI 1578824421) is an individual clinical provider in Rockledge, Florida, licensed in Florida (PY8536) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1578824421
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJUSTIN CONRAD KOENITZERCredential: PSYD
Location Address220 BARTON BLVD, UNIT C14Rockledge, FL 32955-2742
Mailing AddressPo Box 1137Melbourne, FL 32902-1137 · (321) 952-9696 · Fax (321) 952-7937
Fax(321) 639-4927
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 6, 2012
NPI 1578824421 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 FL · PY8536
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.

220 BARTON BLVD, Rockledge, FL 32955

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Justin Conrad Koenitzer Psyd 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 ID2567880321
PECOS Enrollment IDI20200911000515
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
135 services15 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
79 services14 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
15 services15 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32955 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 13

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

Internal Medicine
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Dentist (General Practice)
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Clinic/Center (Federally Qualified Health Center (FQHC))
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Clinic/Center (Federally Qualified Health Center (FQHC))
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Nurse Practitioner (Family)
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Clinic/Center (Federally Qualified Health Center (FQHC))
220 BARTON BLVD, UNIT #C14
ROCKLEDGE, FL 32955
Clinic/Center (Federally Qualified Health Center (FQHC))
220 BARTON BLVD, UNIT #C14
ROCKLEDGE, FL 32955
Family Medicine
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578824421, enumerated as an "individual" on June 06, 2012.

The provider is located at 220 BARTON BLVD UNIT C14 ROCKLEDGE, FL 32955 and the phone number is (321) 639-5177.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.