Individual provider Active NPI

Nicholas J Lacorte, LCSW, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Toms River, NJ
National Provider Identifier
1134556582
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01364000 Issued in NJ
Practice address
36 W Water St
Toms River, NJ 08753-7414
Phone
(732) 349-5550
NPI assigned
Oct 1, 2013
Sex
Male
Sole proprietor
No

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Counseling Center LLC 10 clinicians
Ocean Mental Health Services Inc 35 clinicians

Practice addresses (Care Compare)

2340 US Hwy 9
Suite A2
Howell, NJ 07731-4016
Phone (732) 987-9770

36 W Water St
Suite 2
Toms River, NJ 08753-7414
Phone 7323495550128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 3

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20200923001267 NJ Practitioner - Clinical Social Worker 1759700883 Reassigns benefits to 2 organizations
I20221019000135 NJ Practitioner - Nurse Practitioner 1759700883 Reassigns benefits to 2 organizations
I20241219004401 TX Practitioner - Nurse Practitioner 1759700883 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
44SC05571800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Mental Health Services Inc CurrentSince Sep 8, 2022 Accepting new patients
CCC Counseling Inc Clinical CurrentSince Sep 1, 2021 Accepting new patients
Comprehensive Counseling Center, LLC Clinical CurrentSince May 30, 2024 Accepting new patients
Modern Psychiatry, PA Clinical CurrentSince Oct 18, 2024 Accepting new patients
Modern Psychiatry NJ PC CurrentSince Aug 7, 2023 Accepting new patients
Tears to Cheers Handwriting Clinic, LLC CurrentSince Oct 18, 2024 Accepting new patients

Locations

3198 Terrace Ave
Slidell, LA 70458
Phone (985) 277-1043

160 US Highway 9
Bayville, NJ 08721
Phone (732) 349-1977

2340 US Highway 9
Ste A2
Howell, NJ 07731
Phone (732) 637-8231

6 Shore Rd
Linwood, NJ 08221
Phone (609) 926-8900

34 Sycamore Ave
Ste 2G
Little Silver, NJ 07739
Phone (732) 614-1608

40 Bey Lea Rd
Ste C101
Toms River, NJ 08753
Phone (732) 341-9901

20 Hospital Dr
Ste 4
Toms River, NJ 08755
Phone (732) 286-0222

36 W Water St
Ste 2
Toms River, NJ 08753
Phone (732) 244-5533

1924 State Route 35
Ste 10A
Wall Township, NJ 07719
Phone (732) 481-4743

8355 Walnut Hill Ln
Ste 225A
Dallas, TX 75231
Phone (346) 336-2265

24721 State Highway 249
Tomball, TX 77375
Phone (281) 205-3681

Interoperability endpoints

  • Direct secure messaging: modernpsychiatry.nicholaslacorte@161825.advancedmd-direct.com

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 083630 NY
Clinical Social Worker 1041C0700X 44SC05571800 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01364000 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

36 W Water St
Toms River, NJ 08753-7414

Mailing address

36 W Water St
Toms River, NJ 08753-7414
Phone (732) 349-5550

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 21, 2022.

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1134556582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 W WATER ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537414",
            "telephone_number": "732-349-5550",
            "fax_number": "792-575-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W WATER ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537414",
            "telephone_number": "732-349-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACORTE",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-01",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "083630",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05571800",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01364000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.