McCormack Behavioral Health
NPI 1255136255ActiveOrganization· Counselor, Mental Health· Coon Rapids, MN
Counselor, Mental Health in Coon Rapids, Minnesota, registered in NPPES in February 2025. The authorized official on file is Carly McCormack, MPS, LPCC, LADC, Psychotherapist.
Overview
| NPI | 1255136255 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2025 |
| Last updated in NPPES | Feb 14, 2025 |
| Certified by provider | Feb 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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