MALLORY LACORTE (LAC) – Counselor, NPI 1174912877

MALLORY LACORTE (LAC) is a healthcare provider. based in Neptune, New Jersey. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LAC. The NPI Number for MALLORY LACORTE (LAC) is 1174912877

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MALLORY LACORTE (LAC)
NPI
1174912877
Phone
(732) 643-4400
Address
1200 JUMPING BROOK RD
Enumeration Date
19 January 2015
Last Update Date
19 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7329879770
Graduation Year
2012 (14 years ago)
PAC ID
8426409061
Group Practice PAC ID
4284054446
Professional Enrollment ID
I20240109000994
Address ID
NJ077314016HO2340X9XXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:11State licenses:0Digital endpointsOther names

1,114 MENTAL HEALTH COUNSELOR in NJ

Provider Addresses for MALLORY LACORTE (LAC)

  • 1200 JUMPING BROOK RD

    BUILDING 5, SUITE 2

    NEPTUNE, NJ 077532634

    Phone: (732) 643-4400

    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: 2024-01-09

PECOS data refreshed: 2026-06-15

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
I20240109000994IMental 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 07753)

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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: 4284054446View full group profile
NameSpecialtyState
Mental Health CounselorNJ
Mental Health CounselorNJ
Mental Health CounselorNJ
Clinical Social WorkerNJ
Mental Health CounselorNJ
Clinical Social WorkerNJ
Mental Health CounselorNJ
Clinical Social WorkerNJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for MALLORY LACORTE (LAC)?
MALLORY LACORTE (LAC) — NPI 1174912877 — is the standard way to identify this listing.
Does the file indicate MALLORY LACORTE (LAC) is practicing under active NPI?
Directory data currently reports MALLORY LACORTE (LAC) as active.
What taxonomy line describes MALLORY LACORTE (LAC)?
For research purposes, treat MALLORY LACORTE (LAC) as Counselor in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MALLORY LACORTE (LAC) on a map?
Expect Neptune, New Jersey as a primary anchor for MALLORY LACORTE (LAC) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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