DR. JACOB ALEXANDER MOORE PH.D.
NPI 1821762220
Psychologist - Counseling in Rockville, MD
About Dr. Jacob Alexander Moore Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACOB ALEXANDER MOORE PH.D. (NPI 1821762220) is an individual counseling provider in Rockville, Maryland, licensed in Maryland (07251) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jacob Alexander Moore Ph.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacob Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rockville, MD 20850
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 44 clinicians in this Medicare group
Glen Burnie, MD 21061
- Reassigned Medicare billing, District of Columbia enrollment
- 26 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKVILLE, MD 20850
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 Moore's NPI number?
The NPI number for Jacob Moore is 1821762220. It was assigned to this individual provider in the NPPES registry on August 9, 2021.
Where is Jacob Moore located?
Jacob Moore practices at 9707 Key West Ave Ste 100, Rockville, MD 20850. The listed phone number is (240) 750-6467.
What is Jacob Moore's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.
Is Jacob Moore enrolled in Medicare?
Yes. Jacob Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacob Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Moore reassigns Medicare benefits to 2 organizations: Quince Orchard Psychotherapy LLC (Rockville, MD) and Oasis The Mental Health Center, LLC (Glen Burnie, MD). Each 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 Jacob Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacob Moore was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.