JESSICA NOELL MOUZON
NPI 1790020766
Counselor - Mental Health in Gastonia, NC

Q: What is Jessica Mouzon's NPI number?

The NPI number for Jessica Mouzon is 1790020766. It was assigned to this individual provider in the NPPES registry on December 3, 2012.

Q: What is Jessica Mouzon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Mouzon was last updated on January 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 03, 2012PECOS EnrolledAccepts Medicare Assignment

609 S NEW HOPE RD STE 102, GASTONIA, NC 28054(704) 208-1865(704) 208-1865 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Jessica Noell Mouzon NPPES

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

JESSICA NOELL MOUZON (NPI 1790020766) is an individual mental health provider in Gastonia, North Carolina, licensed in North Carolina (A16006) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1790020766

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJESSICA NOELL MOUZON

Location Address609 S NEW HOPE RD STE 102Gastonia, NC 28054-4825

Mailing Address609 S New Hope Rd Ste 102Gastonia, NC 28054-4825 · (704) 208-1865 · Fax (704) 208-1865

Phone(704) 208-1865

Fax(704) 208-1865

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 3, 2012

Last NPPES UpdateJanuary 6, 2022

NPPES CertifiedJanuary 6, 2022

✔ NPI 1790020766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · A16006

Also ListedDevelopmental TherapistTaxonomy 222Q00000X

609 S NEW HOPE RD STE 102, Gastonia, NC 28054

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and more.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

Jessica Noell Mouzon 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 ID7113451766

PECOS Enrollment IDI20241105003444

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 14

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

NEW HOPE COUNSELING AND WELLNESS LLC

Counselor (Professional)