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Justin Anthony Moore

Psychologist โ€ข Northfield, IL

Active NPI 1487005393 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

400 Central Ave Ste 220
Northfield, IL 600933024

Call 8479969994 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

400 Central Ave Ste 220

Northfield, IL 600933024

Telephone 8479969994
Organization at the Same NPPES Address or Phone
Unify Counseling Inc Facility NPI 1942899646

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Verona, WI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Unify Counseling Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Medicare patients

31 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $104,740 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $82,419 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Justin Moore has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Justin Moore as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Northfield and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 85% of clinicians listed under Psychologist in Illinois (2024, 72 clinicians with data). Median for this group: 275. Middle half: 132 to 435.

Too few clinicians listed under Psychologist in Northfield have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% of clinicians listed under Psychologist in Illinois (2024, 72 clinicians with data). Median for this group: $31,900. Middle half: $17,499 to $50,301.

Too few clinicians listed under Psychologist in Northfield have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 90% of clinicians listed under Psychologist in Illinois (2024, 72 clinicians with data). Median for this group: $24,141. Middle half: $13,031 to $39,170.

Too few clinicians listed under Psychologist in Northfield have Medicare Part B data for 2024 to compare.

2 active clinicians are listed under Psychologist with a practice address in Northfield, IL (1,011 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 1 hour
720 31 $200.00 $138.67
90832 Psychotherapy, 30 minutes
34 14 $100.00 $73.17
90834 Psychotherapy, 45 minutes
26 12 $150.00 $92.69

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-12-01
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES WI 3606-57

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20231211003091

Enrollment State Jurisdiction

IL

PECOS Control ID

1052664000

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Unify Counseling Inc

701 Main St, Evanston, IL 602024960

Phone: 8479969994

Secondary Practice Locations

9751 Watts Rd

Verona, WI 535939377

Phone: 9738517255

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
๐Ÿ“
Updated Practice Location December 01, 2023

Registered at 400 CENTRAL AVE STE 220, NORTHFIELD, IL 600933024 (Tel: 8479969994)

๐Ÿ“
Updated Business Mailing Address December 01, 2023

Registered at 1189 WILMETTE AVE STE 263, WILMETTE, IL 600912719 (Tel: 2242164443)

๐Ÿ“
Updated Practice Location February 01, 2022

Registered at 9751 WATTS RD, VERONA, WI 535939377 (Tel: 9738517255)

๐Ÿ“
Updated Business Mailing Address February 01, 2022

Registered at 9751 WATTS RD, VERONA, WI 535939377 (Tel: 9738517255)

๐Ÿ“
Updated Practice Location November 05, 2018

Registered at 5249 E TERRACE DR, MADISON, WI 537188339 (Tel: 6085044100)

๐Ÿ“
Updated Business Mailing Address November 05, 2018

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2018

Psychologist (license number reported to NPPES: WI 3606-57)

โœ…
NPI Profile Active June 22, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 22, 2016

Registered at 444 S 44TH ST, OMAHA, NE 681313727 (Tel: 4025596408)

๐Ÿ“
Business Mailing Address (Initial Record) June 22, 2016

Registered at 985450 NEBRASKA MEDICAL CTR, OMAHA, NE 681985450 (Tel: 4025596408)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 22, 2016

Recorded as JUSTIN MOORE

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2016

Counselor (license number reported to NPPES: NE 10898)

๐ŸŸข
Initial NPI Registration & Enumeration June 22, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487005393
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2016
Last Update: December 01, 2023
Sole Proprietor: No

Mailing Address

1189 Wilmette Ave Ste 263

Wilmette, IL 600912719

Phone: 2242164443

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.