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DR. JESSICA MOORE SIMON PSYD, LCPAT
NPI 1891232245
Psychologist - Clinical in Bethesda, MD

Active since January 24, 2017Opted out of Medicare · through Feb 2, 2027
4424 MONTGOMERY AVE, SUITE 201, BETHESDA, MD 20814(888) 715-1120(888) 715-1130 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jessica Moore Simon Psyd, Lcpat NPPES

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

DR. JESSICA MOORE SIMON PSYD, LCPAT (NPI 1891232245) is an individual clinical provider in Bethesda, Maryland, licensed in Maryland (05854) and active in the NPI registry since January 2017. She has opted out of Medicare through February 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1891232245
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JESSICA MOORE SIMONCredential: PSYD, LCPAT
Location Address4424 MONTGOMERY AVE, SUITE 201Bethesda, MD 20814-4409
Mailing Address4424 Montgomery Ave, Suite 201Bethesda, MD 20814-4409 · (888) 715-1120 · Fax (888) 715-1130
Phone(888) 715-1120
Fax(888) 715-1130
Sole ProprietorYes
Enumeration DateJanuary 24, 2017
✔ NPI 1891232245 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 MD · 05854
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.
4424 MONTGOMERY AVE, Bethesda, MD 20814
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jessica Moore Simon Psyd, Lcpat has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 2, 2017 through February 2, 2027.

Opt-Out Effective DateFebruary 2, 2017
Opt-Out In Effect ThroughFebruary 2, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20814 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 5

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

CHRISTINE HERNANDEZ LPGC
Counselor (Mental Health)
4424 MONTGOMERY AVE, SUITE 201
BETHESDA, MD 20814
Montgomery County (888) 715-1120
KAREN ANNE KUELL M.S.W., PH.D.
Psychologist (Clinical)
4424 MONTGOMERY AVE, SUITE 300
BETHESDA, MD 20814
Montgomery County (301) 951-1990
EVELYN PHIPPS BOYER PH.D.
Psychologist (Clinical)
4424 MONTGOMERY AVE, SUITE 200
BETHESDA, MD 20814
Montgomery County (202) 489-8142
SUSAN CAROL JENKINS PH.D.
Psychologist (Clinical)
4424 MONTGOMERY AVE, SUITE 300
BETHESDA, MD 20814
Montgomery County (301) 951-1990
LAUDAN MOGHADAM LCSW-C
Social Worker (Clinical)
4424 MONTGOMERY AVE, SUITE 201
BETHESDA, MD 20814
Montgomery County (888) 715-1120

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 Simon's NPI number?

The NPI number for Jessica Simon is 1891232245. It was assigned to this individual provider in the NPPES registry on January 24, 2017.

Where is Jessica Simon located?

Jessica Simon practices at 4424 Montgomery Ave Suite 201, Bethesda, MD 20814. The listed phone number is (888) 715-1120.

What is Jessica Simon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jessica Simon enrolled in Medicare?

No. Jessica Simon has opted out of Medicare through February 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jessica Simon was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.