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CARLY CRISTINE MCCORMACK LADC, LPCC
NPI 1700478625
Counselor - Mental Health in Edina, MN

Active since February 11, 2021PECOS Enrolled
7401 METRO BLVD STE 250, EDINA, MN 55439(612) 268-5858 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2023, May 2, 2023, Feb 11, 2021 (3 updates tracked since 2021).

About Carly Cristine Mccormack Ladc, Lpcc NPPES

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

CARLY CRISTINE MCCORMACK LADC, LPCC (NPI 1700478625) is an individual mental health provider in Edina, Minnesota, licensed in Minnesota (3936) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700478625
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCARLY CRISTINE MCCORMACKCredential: LADC, LPCC
Location Address7401 METRO BLVD STE 250Edina, MN 55439-3062
Mailing Address7401 Metro Blvd Ste 250Edina, MN 55439-3062 · (612) 268-5858
Phone(612) 268-5858
Sole ProprietorNo
Enumeration DateFebruary 11, 2021
Last NPPES UpdateOctober 23, 20243 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
✔ NPI 1700478625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 3936
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 305956 (MN)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 3936 (MN)
7401 METRO BLVD STE 250, Edina, MN 55439
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Other Names 1

Former Name (1)Carly Cristine Rutter

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Cristine Mccormack Ladc, 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.

DR. AMY HILBURGER
Counselor (Mental Health)
7401 METRO BLVD STE 250
EDINA, MN 55439
Hennepin County (612) 268-5858
TESSA ELIZABETH LARSON WOLDEN ATR, LPCC
Counselor (Mental Health)
7401 METRO BLVD STE 250
EDINA, MN 55439
Hennepin County (612) 268-5858
KELLY STERNHAGEN
Counselor (Mental Health)
7401 METRO BLVD STE 250
EDINA, MN 55439
Hennepin County (612) 517-3667
MS. ANDREA UNDLIN LMFT
Counselor (Mental Health)
7401 METRO BLVD STE 250
EDINA, MN 55439
Hennepin County (612) 268-5858
REBECCA SAWYER-SMITH MA
Counselor (Professional)
7401 METRO BLVD STE 250
EDINA, MN 55439
Hennepin County (763) 218-5493
NICOLE ANN KEEN LICSW
Counselor (Mental Health)
7401 METRO BLVD STE 250
EDINA, MN 55439
Hennepin County (773) 648-3928
LUCY CATHERINE WEISENBECK LSW
Counselor (Mental Health)
7401 METRO BLVD STE 250
EDINA, MN 55439
Hennepin County (612) 268-5858
AFFINITY PSYCHOLOGICAL SERVICES, P.C.
Counselor (Mental Health)
7401 METRO BLVD STE 250
EDINA, MN 55439
Hennepin County (612) 268-5858

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 Carly Mccormack's NPI number?

The NPI number for Carly Mccormack is 1700478625. It was assigned to this individual provider in the NPPES registry on February 11, 2021. The provider is also known as Carly Cristine Rutter.

Where is Carly Mccormack located?

Carly Mccormack practices at 7401 Metro Blvd Ste 250, Edina, MN 55439. The listed phone number is (612) 268-5858.

What is Carly Mccormack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Carly Mccormack enrolled in Medicare?

Yes. Carly Mccormack is registered in the Medicare PECOS enrollment system.

What insurance does Carly Mccormack accept?

Health plans from HealthPartners list Carly Mccormack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carly Mccormack was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.