MARY MCCANN (LAC) – Mental Health Counselor, NPI 1043788607

MARY MCCANN (LAC) is a healthcare provider. based in Highland park, New Jersey. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LAC. They hold a License No. 37AC00320000 (NJ). The NPI Number for MARY MCCANN (LAC) is 1043788607

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MARY MCCANN (LAC)
NPI
1043788607
Phone
(732) 227-0070
Address
1001 RARITAN AVE
Enumeration Date
12 November 2018
Last Update Date
12 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7329022181
Graduation Year
2016 (10 years ago)
PAC ID
2567806995
Group Practice PAC ID
8921316605
Professional Enrollment ID
I20240214000066
Address ID
NJ088402455ME400XXRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,093 MENTAL HEALTH COUNSELOR in NJ

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Provider Addresses for MARY MCCANN (LAC)

  • 1001, Raritan Avenue, Highland Park, Middlesex County, New Jersey, 08904, United States

    HIGHLAND PARK, NJ 089043667

    Phone: (732) 227-0070

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240214000066IMental Health CounselorNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08904)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921316605View full group profile
NameSpecialtyState
Mental Health CounselorNJ
Clinical Social WorkerNJ
Mental Health CounselorNY
Clinical Social WorkerNJ
Mental Health CounselorNJ
Clinical PsychologistNJ
Clinical PsychologistNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ
Mental Health CounselorNJ

Reviews

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Frequently asked questions

Does MARY MCCANN (LAC) have a public NPI I can cite?
Public records show MARY MCCANN (LAC) under NPI 1043788607.
Is MARY MCCANN (LAC) currently accepting referrals based on NPI status?
Registry metadata lists MARY MCCANN (LAC) as active.
How should patients interpret MARY MCCANN (LAC)'s specialty?
The extract shows Mental Health Counselor for MARY MCCANN (LAC). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARY MCCANN (LAC)?
MARY MCCANN (LAC) is associated with Highland Park, New Jersey in the same public data insurers reference.
Who maintains MARY MCCANN (LAC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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