Mick Gene Collias
Individual provider Active NPI Mental Health Counselor · Creston, IA
NPI 1003397068 · NPPES record last updated Aug 27, 2018
Key facts
- NPI
- 1003397068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1003 Cottonwood Rd
Creston, IA 50801-1012 - Phone
- (641) 782-8457
- NPI assigned
- Aug 27, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Crossroads Behavioral Health Services
Practice addresses (Care Compare)
405 E McLane St
Osceola, IA 50213-1592
Phone (641) 782-8457
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231214002263 | IA | Practitioner - Mental Health Counselor | 2163871245 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Behavioral Health Services | Current |
Accepting new patients | |
| Crossroads Behavioral Health Center | Past |
Accepting new patients |
Locations
1003 Cottonwood Rd
Creston, IA 50801
Phone (641) 782-8457
210 Russell St
Creston, IA 50801
Phone (641) 782-8457
405 E McLane St
Osceola, IA 50213
Phone (641) 342-4888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1003 Cottonwood Rd
Creston, IA 50801-1012
Mailing address
1301 N Elm St Apt 2
Creston, IA 50801-1140
Phone (636) 359-8140
Other providers in Creston, IA
- Sarah Carter
- Ronald William Charles
- Allison L Cheers
- Circle of Life Therapy Services LLC
- Daniel Mark Coen
- Kristen D Collier
- Caitlyn Cooper
- Sheena Katherine Cortner
- Jessica Crandall
- Lauren Craver
All providers in Creston, IA · Mental Health Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.