JAIME-LYNN MALLORY LAGRAVES MSED, LPCC
NPI 1568918126
Counselor - Professional in Cloquet, MN

Q: What is Jaime-lynn Mallory Lagraves's NPI number?

The NPI number for Jaime-lynn Mallory Lagraves is 1568918126. It was assigned to this individual provider in the NPPES registry on September 1, 2016. The provider is also known as Jaime Lynn Mallory.

Q: What is Jaime-lynn Mallory Lagraves's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since September 01, 2016PECOS Enrolled

40 11TH ST, CLOQUET, MN 55720(218) 879-4559(218) 879-0282 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2021, Jun 16, 2021, Sep 1, 2016 (3 updates tracked since 2016).

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About Jaime-lynn Mallory Lagraves Msed, Lpcc NPPES

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

JAIME-LYNN MALLORY LAGRAVES MSED, LPCC (NPI 1568918126) is an individual professional provider in Cloquet, Minnesota, licensed in Minnesota (1274) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568918126

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJAIME-LYNN MALLORY LAGRAVESCredential: MSED, LPCC

Location Address40 11TH STCloquet, MN 55720-1817

Mailing Address1401 East 1st StreetDuluth, MN 55805 · (218) 728-4491 · Fax (218) 302-8698

Phone(218) 879-4559

Fax(218) 879-0282

Sole ProprietorNo

Enumeration DateSeptember 1, 2016

Last NPPES UpdateSeptember 23, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2021

✔ NPI 1568918126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MN · 1274

40 11TH ST, Cloquet, MN 55720

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Other Names 1

Former Name (1)Jaime Lynn Mallory

Other Identifiers 2

Medicaid1568918126WI

Medicaid1568918126MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaime-lynn Mallory Lagraves Msed, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

VICTORIA DIANE ZUPANCICH MSW, LICSW

Social Worker (Clinical)

40 11TH ST
CLOQUET, MN 55720

Carlton County (218) 879-4559

MS. JANE M ANDERSON PSYCHOLOGIST

Psychologist

40 11TH ST
CLOQUET, MN 55720

Carlton County (218) 879-4559

BRIGHTWATER HEALTH DBA HUMAN DEVELOPMENT CENTER

Community/Behavioral Health

40 11TH ST
CLOQUET, MN 55720

Carlton County (218) 879-4559

JEFFERY AGATON HOWES MSW, LICSW, LADC

Social Worker (Clinical)

40 11TH ST
CLOQUET, MN 55720

Carlton County (218) 879-4559

JOAN LOUISE HEIMSNESS LICSW

Social Worker (Clinical)

40 11TH ST
CLOQUET, MN 55720

Carlton County (218) 879-4559

KRISTINA LYNN ETHERIDGE

Social Worker (Clinical)

40 11TH ST
CLOQUET, MN 55720

Carlton County (218) 879-4559

OLIVIA MCNAMARA LGSW

Social Worker

40 11TH ST
CLOQUET, MN 55720

Carlton County (218) 879-4559

EMILY RAMSEY LGSW

Social Worker

40 11TH ST
CLOQUET, MN 55720

Carlton County (218) 879-4559

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 Jaime-lynn Mallory Lagraves's NPI number?

The NPI number for Jaime-lynn Mallory Lagraves is 1568918126. It was assigned to this individual provider in the NPPES registry on September 1, 2016. The provider is also known as Jaime Lynn Mallory.

Where is Jaime-lynn Mallory Lagraves located?

Jaime-lynn Mallory Lagraves practices at 40 11th St, Cloquet, MN 55720. The listed phone number is (218) 879-4559.

What is Jaime-lynn Mallory Lagraves's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jaime-lynn Mallory Lagraves enrolled in Medicare?

Yes. Jaime-lynn Mallory Lagraves is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaime-lynn Mallory Lagraves was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.