Individual provider Active NPI

Mallory Lacorte, LAC

  • Counselor
  • Neptune, NJ
National Provider Identifier
1174912877
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1200 Jumping Brook Rd
Building 5, Suite 2
Neptune, NJ 07753-2634
Phone
(732) 643-4400
NPI assigned
Jan 19, 2015
Last updated
Jan 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

1200 Jumping Brook Rd
Building 5, Suite 2
Neptune, NJ 07753-2634

Mailing address

1200 Jumping Brook Rd
Building 5, Suite 2
Neptune, NJ 07753-2634
Phone (732) 643-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109000994 NJ Practitioner - Mental Health Counselor 8426409061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Counseling Center LLCGroup PAC ID 4284054446, 10 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Counseling Center, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

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

Organizations & group practices 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1174912877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 JUMPING BROOK RD",
            "address_2": "BUILDING 5, SUITE 2",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532634",
            "telephone_number": "732-643-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 JUMPING BROOK RD",
            "address_2": "BUILDING 5, SUITE 2",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532634",
            "telephone_number": "732-643-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACORTE",
        "first_name": "MALLORY",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.