Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan D Moe, MS

Individual provider Mental Health Counselor · NPI 1053653246

Jonathan D Moe, MS is a Mental Health Counselor in Cortland, New York. Qualified in 2012, 14 years ago. Practices with Psychiatry Services of New York, PC, a 37-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2013
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

10 N Main St
Cortland, NY 13045-2130
Phone: (607) 753-0234
Fax: (607) 753-0286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 007454-01 (NY)

Record details

NPI number1053653246
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorNo
NPI enumeratedMarch 26, 2013
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022
Mailing address10 N Main St, Cortland, NY 13045-2130

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Psychiatry Services Of New York, Pc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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