COLBY R MCCORMICK (LPC) – Professional Counselor, NPI 1952014821

COLBY R MCCORMICK (LPC) is a healthcare provider. based in Waupaca, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 10599-125 (WI). The NPI Number for COLBY R MCCORMICK (LPC) is 1952014821

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
COLBY R MCCORMICK (LPC)
NPI
1952014821
Phone
(715) 942-1883
Address
811 HARDING ST
Enumeration Date
5 January 2023
Last Update Date
6 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
2163871914
Group Practice PAC ID
1254348386
Professional Enrollment ID
I20240424004017
Address ID
WI549812012WA811XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,777 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for COLBY R MCCORMICK (LPC)

  • 811 HARDING ST

    WAUPACA, WI 549812012

    Phone: (715) 942-1883

    Fax: (715) 258-6409

    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: 2024-04-24

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
I20240424004017IMental Health CounselorWITBD

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 54981)

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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: 1254348386View full group profile
NameSpecialtyState
Mental Health CounselorWI
Mental Health CounselorWI
P S Y C H I A T R YWI
P S Y C H I A T R YWI
Clinical Social WorkerWI
-WI

Reviews

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Frequently asked questions

What is the 10-digit NPI for COLBY R MCCORMICK (LPC)?
COLBY R MCCORMICK (LPC) — NPI 1952014821 — is the standard way to identify this listing.
Is COLBY R MCCORMICK (LPC) listed as active for patients and plans?
The listing shows COLBY R MCCORMICK (LPC) as active in the NPI system.
What is COLBY R MCCORMICK (LPC)'s specialty?
The listing groups COLBY R MCCORMICK (LPC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect COLBY R MCCORMICK (LPC) on a map?
Expect Waupaca, Wisconsin as a primary anchor for COLBY R MCCORMICK (LPC) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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