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

Active since December 03, 2012PECOS Enrolled
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: November 01, 2026.

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.

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
Fax(704) 208-1865
Sole ProprietorNo
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Noell Mouzon 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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Mouzon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1801 ROZZELLES FERRY RD
Charlotte, NC 28208
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 12

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

Social Worker (Clinical)
609 S NEW HOPE RD STE 102
GASTONIA, NC 28054
Counselor (Mental Health)
609 S NEW HOPE RD STE 102
GASTONIA, NC 28054
Counselor (Professional)
609 S NEW HOPE RD STE 102
GASTONIA, NC 28054
Social Worker (Clinical)
609 S NEW HOPE RD STE 102
GASTONIA, NC 28054
Counselor (Mental Health)
609 S NEW HOPE RD STE 102
GASTONIA, NC 28054
Counselor (Mental Health)
609 S NEW HOPE RD STE 102
GASTONIA, NC 28054
Social Worker (Clinical)
609 S NEW HOPE RD STE 102
GASTONIA, NC 28054
Counselor (Mental Health)
609 S NEW HOPE RD STE 102
GASTONIA, NC 28054

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 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.

Where is Jessica Mouzon located?

Jessica Mouzon practices at 609 S New Hope Rd Ste 102, Gastonia, NC 28054. The listed phone number is (704) 208-1865.

What is Jessica Mouzon's specialty?

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

Is Jessica Mouzon enrolled in Medicare?

Yes. Jessica Mouzon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Mouzon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Mouzon reassigns Medicare benefits to Carolinas Medical Center (Charlotte, NC). The 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 Jessica Mouzon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Mouzon accept?

Health plans from BlueCross BlueShield of South Carolina, InStil Health, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Jessica Mouzon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Mouzon was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.