Individual provider Active NPI

Colleen Michele Grote, LMHC

  • Mental Health Counselor
  • Waterloo, IA
National Provider Identifier
1386013753
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
078519 Issued in IA
Practice address
904 W 4TH St
Waterloo, IA 50702-2802
Phone
(319) 233-3579
Fax
(319) 233-6569
NPI assigned
Sep 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 078519 IA Primary

Addresses

Primary practice location

904 W 4TH St
Waterloo, IA 50702-2802

Mailing address

904 W 4TH St
Waterloo, IA 50702-2802
Phone (319) 233-3579

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231228001272 IA Practitioner - Mental Health Counselor 5799135034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and SolutionsGroup PAC ID 1456610419, 6 clinicians

Practice addresses (Care Compare)

100 1St St NE
Mason City, IA 50401-3302
Phone (800) 531-4236

626 G Ave
Grundy Center, IA 50638-1550
Phone (800) 531-4236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1386013753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 W 4TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507022802",
            "telephone_number": "319-233-3579",
            "fax_number": "319-233-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 W 4TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507022802",
            "telephone_number": "319-233-3579",
            "fax_number": "319-233-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTE",
        "first_name": "COLLEEN",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "078519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.