DR. JACOB ALEXANDER MOORE PH.D.
NPI 1821762220
Psychologist - Counseling in Rockville, MD

Active since August 09, 2021PECOS EnrolledAccepts Medicare Assignment
9707 KEY WEST AVE STE 100, ROCKVILLE, MD 20850(240) 750-6467 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2025, Aug 9, 2021 (2 updates tracked since 2021).

  • Individual
  • Male
  • Years of Experience 4
  • Psychologist
  • Counseling
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JACOB MOORE

This page provides the complete NPI Profile along with additional information for Jacob Moore, a provider established in Rockville, Maryland with a medical specialization in Psychologist, focusing in counseling and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1821762220 assigned on August 2021. The practitioner's primary taxonomy code is 103TC1900X with license number 07251 (MD). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1821762220 Verify this NPI
Provider Name
DR. JACOB ALEXANDER MOORE PH.D.
Gender
Male
Entity Type
Individual
Location Address
9707 KEY WEST AVE STE 100 ROCKVILLE, MD 20850
Location Phone
(240) 750-6467
Mailing Address
5822 BARNWOOD PL COLUMBIA, MD 21044
Mailing Phone
(301) 272-5080
Medical School Name
OTHER
Graduation Year
2023
Is Sole Proprietor?
No
Enumeration Date
08-09-2021
Last Update Date
03-07-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Counseling

Taxonomy Code
103TC1900X
Type
Behavioral Health & Social Service Providers
License No.
07251
License State
MD
Taxonomy Description
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

A0611 (MD)

Medicare Participation & PECOS Enrollment Status

Jacob Moore is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jacob Moore is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2567988355

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250424001729, I20250428003235

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for DR. JACOB ALEXANDER MOORE PH.D.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychologist
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850
Psychologist (Clinical)
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850
Counselor (Professional)
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850
Psychologist
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850
Psychologist
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850
Counselor (Mental Health)
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850
Counselor (Mental Health)
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850
Counselor (Mental Health)
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850
Psychologist
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850
Psychologist
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850
Psychologist
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850
Psychologist
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850
Psychologist
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850
Psychologist (Clinical)
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850
Psychologist (Forensic)
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850
Counselor
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850
Social Worker (Clinical)
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850
Counselor (Professional)
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850
Counselor (Professional)
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850
Counselor (Professional)
9707 KEY WEST AVE STE 100
ROCKVILLE, MD 20850

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821762220, enumerated as an "individual" on August 09, 2021.

The provider is located at 9707 KEY WEST AVE STE 100 ROCKVILLE, MD 20850 and the phone number is (240) 750-6467.

Psychologist with taxonomy code 103TC1900X and a focus in Counseling.