KRISTEN T MCCORT (PCC) – Professional Counselor, NPI 1629073796

KRISTEN T MCCORT (PCC) is a healthcare provider. based in Wooster, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PCC. They hold a License No. E4300 (OH). The NPI Number for KRISTEN T MCCORT (PCC) is 1629073796

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN T MCCORT (PCC)
NPI
1629073796
Phone
(330) 345-3461
Address
365 RIFFEL RD
Enumeration Date
16 June 2005
Last Update Date
31 May 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3303458450
Graduation Year
1998 (28 years ago)
PAC ID
1153765375
Group Practice PAC ID
0840712295
Professional Enrollment ID
I20240215003028
Address ID
OH446916601WO4419XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

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Provider Addresses for KRISTEN T MCCORT (PCC)

  • Riffel Road, Wooster, Wayne County, Ohio, 44691, United States

    SUITE B

    WOOSTER, OH 44691

    Phone: (330) 345-3461

    Fax: (330) 345-3462

    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: 2024-02-15

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
I20240215003028IMental Health CounselorOHTBD

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 44691)

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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: 0840712295View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Clinical Social WorkerOH

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Frequently asked questions

What identifier follows KRISTEN T MCCORT (PCC) across health systems?
The NPI 1629073796 uniquely identifies KRISTEN T MCCORT (PCC) in U.S. healthcare data.
Does the public listing show KRISTEN T MCCORT (PCC) as active?
KRISTEN T MCCORT (PCC)'s NPI record reflects an active status in NPPES.
What services align with KRISTEN T MCCORT (PCC)'s listing?
KRISTEN T MCCORT (PCC)'s public classification highlights Professional Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to KRISTEN T MCCORT (PCC)?
KRISTEN T MCCORT (PCC) shows a connection to Wooster, Ohio in registry-derived data.
Can I export KRISTEN T MCCORT (PCC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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