MATTHEW EDWARD VAN DE NORTH LPC
NPI 1144653122
Counselor - Professional in Denver, CO

Active since August 14, 2013PECOS EnrolledAccepts Medicare Assignment
4455 E 12TH AVE, DENVER, CO 80220(303) 504-7700 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 26, 2023, Oct 1, 2021, Mar 5, 2020 (3 updates tracked since 2020).

About Matthew Edward Van De North Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW EDWARD VAN DE NORTH LPC (NPI 1144653122) is an individual professional provider in Denver, Colorado, licensed in Colorado (LPC.0015386) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1144653122
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMATTHEW EDWARD VAN DE NORTHCredential: LPC
Location Address4455 E 12TH AVEDenver, CO 80220-2415
Mailing Address4455 E 12th AveDenver, CO 80220-2415
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 14, 2013
Last NPPES UpdateOctober 26, 20233 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
NPI 1144653122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CO · LPC.0015386
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
4455 E 12TH AVE, Denver, CO 80220

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Matthew Edward Van De North Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678922960
PECOS Enrollment IDI20231212002335
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
4455 E 12TH AVE
DENVER, CO 80220
Case Manager/Care Coordinator
4455 E 12TH AVE
DENVER, CO 80220
Licensed Practical Nurse
4455 E 12TH AVE
DENVER, CO 80220
Case Manager/Care Coordinator
4455 E 12TH AVE
DENVER, CO 80220
Social Worker (Clinical)
4455 E 12TH AVE
DENVER, CO 80220
Counselor (Professional)
4455 E 12TH AVE
DENVER, CO 80220
Psychiatry & Neurology (Psychiatry)
4455 E 12TH AVE
DENVER, CO 80220
Case Manager/Care Coordinator
4455 E 12TH AVE
DENVER, CO 80220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Van De North's NPI number?

The NPI number for Matthew Van De North is 1144653122. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Where is Matthew Van De North located?

Matthew Van De North practices at 4455 E 12th Ave, Denver, CO 80220. The listed phone number is (303) 504-7700.

What is Matthew Van De North's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Matthew Van De North enrolled in Medicare?

Yes. Matthew Van De North is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Matthew Van De North was last updated on October 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.