CARLY CRISTINE MCCORMACK LADC, LPCC
NPI 1700478625
Counselor - Mental Health in Coon Rapids, MN
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 Coon Rapids, Minnesota, licensed in Minnesota (3936) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Accepted 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).
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 12775 Swallow St NW, Coon Rapids, MN 55448. The listed phone number is (701) 850-7438.
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 September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.
# Carly Cristine Mccormack, LADC, LPCC · NPI 1700478625
Mental Health provider in Coon Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since February 11, 2021.
## Identity
- **NPI:** 1700478625 (Entity type: Individual)
- **Enumerated:** February 11, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 3936 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 12775 SWALLOW ST NW, Coon Rapids, MN 55448-2587
- **Phone:** (701) 850-7438
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** September 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1700478625) · Data from the CMS NPPES public registry.