Individual provider Active NPI

Colleen Bates, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Geneva, OH
National Provider Identifier
1255015459
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
LE-00046917 Issued in OH
Practice address
60 West St
Geneva, OH 44041-9723
Phone
(440) 491-0155
NPI assigned
Jun 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X LE-00046917 OH Primary

Addresses

Primary practice location

60 West St
Geneva, OH 44041-9723

Mailing address

60 West St
Geneva, OH 44041-9723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721002643 OH Practitioner - Nurse Practitioner 4789044744 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Generations Behavioral Health-Geneva LLCGroup PAC ID 3476862210, 4 clinicians
Neo Counseling Services, LLCGroup PAC ID 8224401898, 2 clinicians

Practice addresses (Care Compare)

60 W St
Geneva, OH 44041-9723
Phone (440) 491-0155

9930 Johnnycake Ridge Rd
Suite 4F
Mentor, OH 44060-6762
Phone (440) 579-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LE-00046917OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neo Counseling Services, LLC CurrentSince Jan 1, 2025 Accepting new patients
Generations Behavioral Health Clinic, LLC CurrentSince Jun 12, 2023 Accepting new patients
Generations Behavioral Health-Geneva LLC CurrentSince Jun 12, 2023 Accepting new patients
Generations Behavioral Health-Youngstown, LLC CurrentSince Jun 12, 2023 Accepting new patients

Locations

60 West St
Geneva, OH 44041
Phone (440) 466-1181

9930 Johnnycake Ridge Rd
Ste 4F
Mentor, OH 44060
Phone (440) 579-5100

16 Colonial Dr
Youngstown, OH 44505
Phone (234) 232-7478

196 Colonial Dr
Youngstown, OH 44505
Phone (234) 232-7500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1255015459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WEST ST",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440419723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WEST ST",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440419723",
            "telephone_number": "440-491-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "COLLEEN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "LE-00046917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, OH

Sources for this page

Verify at the official NPI Registry.