COLLEEN MARY MICKLAS – School Counselor, NPI 1336398445

COLLEEN MARY MICKLAS is a healthcare provider. based in Pontiac, Michigan. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for COLLEEN MARY MICKLAS is 1336398445

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
COLLEEN MARY MICKLAS
NPI
1336398445
Phone
(248) 858-7766
Address
114 ORCHARD LAKE RD
Enumeration Date
12 September 2008
Last Update Date
12 September 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5867529696
Graduation Year
2009 (17 years ago)
PAC ID
0345743779
Group Practice PAC ID
5193700888
Professional Enrollment ID
I20250911004136
Address ID
MI480654493BR124XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:17State licenses:0Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

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Provider Addresses for COLLEEN MARY MICKLAS

  • 114, Orchard Lake Road, Pontiac, Oakland County, Michigan, 48341, United States

    PONTIAC, MI 483412244

    Phone: (248) 858-7766

    Fax: (248) 858-7201

    Type: Mailing

  • 130, Hampton Circle, Rochester Hills, Oakland County, Michigan, 48307, United States

    SUITE 100

    ROCHESTER HILLS, MI 483074195

    Phone: (248) 853-0750

    Fax: (248) 853-0792

    Type: Location

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: 2025-09-11

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
I20250911004136IMental Health CounselorMITBD

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 48341)

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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: 5193700888View full group profile
NameSpecialtyState
-MI
Mental Health CounselorMI
Clinical Social WorkerMI
Mental Health CounselorMI
Physician AssistantMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
Clinical Social WorkerMI
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

What number should I use to identify COLLEEN MARY MICKLAS for billing?
Administrative and clinical systems typically use NPI 1336398445 for COLLEEN MARY MICKLAS.
Does the public listing show COLLEEN MARY MICKLAS as active?
COLLEEN MARY MICKLAS's NPI record reflects an active status in NPPES.
What type of care does COLLEEN MARY MICKLAS provide?
COLLEEN MARY MICKLAS's profile centers on School Counselor. Clinical services aligned with this taxonomy classification.
Can patients visit COLLEEN MARY MICKLAS in Pontiac, Michigan?
For routing, start with Pontiac, Michigan for COLLEEN MARY MICKLAS, then verify phone and hours locally.
Why is information missing for COLLEEN MARY MICKLAS?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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