MICK GENE COLLIAS – Mental Health Counselor, NPI 1003397068

MICK GENE COLLIAS is a healthcare provider. based in Creston, Iowa. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for MICK GENE COLLIAS is 1003397068

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MICK GENE COLLIAS
NPI
1003397068
Phone
(641) 782-8457
Address
1003 COTTONWOOD RD
Enumeration Date
27 August 2018
Last Update Date
27 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6417828457
Graduation Year
2018 (8 years ago)
PAC ID
2163871245
Group Practice PAC ID
7113817933
Professional Enrollment ID
I20231214002263
Address ID
IA502131592OS405XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

630 MENTAL HEALTH COUNSELOR in IA

Provider Addresses for MICK GENE COLLIAS

  • 1003 COTTONWOOD RD

    CRESTON, IA 508011012

    Phone: (641) 782-8457

    Type: Location

  • North Elm Street, Creston, Muncie, Delaware County, Indiana, 47303, United States

    CRESTON, IA 508011140

    Phone: (636) 359-8140

    Type: Mailing

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: 2023-12-14

PECOS data refreshed: 2026-05-27

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
I20231214002263IMental Health CounselorIATBD

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 50801)

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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: 7113817933View full group profile

Reviews

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Frequently asked questions

What number should I use to identify MICK GENE COLLIAS for billing?
Administrative and clinical systems typically use NPI 1003397068 for MICK GENE COLLIAS.
Should I treat MICK GENE COLLIAS as an active provider?
Patients and plans typically see MICK GENE COLLIAS as active in the national extract.
What type of care does MICK GENE COLLIAS provide?
MICK GENE COLLIAS's profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to MICK GENE COLLIAS?
MICK GENE COLLIAS shows a connection to Creston, Iowa in registry-derived data.
Why is information missing for MICK GENE COLLIAS?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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