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PATRICK VAN MIDDELEM MS, LPC
NPI 1821430570
Counselor - Professional in Marietta, GA

Active since July 23, 2013PECOS Enrolled
1000 JOHNSON FERRY RD STE E150, MARIETTA, GA 30068(443) 306-8307 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Patrick Van Middelem Ms, Lpc NPPES

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

PATRICK VAN MIDDELEM MS, LPC (NPI 1821430570) is an individual professional provider in Marietta, Georgia, licensed in Georgia (LPC013014) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821430570
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NamePATRICK VAN MIDDELEMCredential: MS, LPC
Location Address1000 JOHNSON FERRY RD STE E150Marietta, GA 30068-2176
Mailing Address1000 Johnson Ferry Rd Ste E150Marietta, GA 30068-2176 · (443) 306-8307
Phone(443) 306-8307
Sole ProprietorNo
Enumeration DateJuly 23, 2013
Last NPPES UpdateApril 2, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1821430570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC013014
1000 JOHNSON FERRY RD STE E150, Marietta, GA 30068
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick Van Middelem Ms, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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

ELGINDALE PARTNERS, LLC
Counselor (Mental Health)
1000 JOHNSON FERRY RD STE E150
MARIETTA, GA 30068
Cobb County (404) 769-7990
SHAWNA CRITELLI
Counselor (Professional)
1000 JOHNSON FERRY RD STE E150
MARIETTA, GA 30068
Cobb County (678) 824-6893
MALORY KAY OLEJACK MA, LPC
Counselor (Professional)
1000 JOHNSON FERRY RD STE E150
MARIETTA, GA 30068
Cobb County (678) 824-6893
DARRIN D PAYNE MA, APC, BS MIN.
Counselor (Mental Health)
1000 JOHNSON FERRY RD STE E150
MARIETTA, GA 30068
Cobb County (770) 656-4676
DR. KIMBERLY SPELLMAN PHD, LPC, NCC
Counselor (Professional)
1000 JOHNSON FERRY RD STE E150
MARIETTA, GA 30068
Cobb County (470) 382-0583

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 Patrick Van Middelem's NPI number?

The NPI number for Patrick Van Middelem is 1821430570. It was assigned to this individual provider in the NPPES registry on July 23, 2013.

Where is Patrick Van Middelem located?

Patrick Van Middelem practices at 1000 Johnson Ferry Rd Ste E150, Marietta, GA 30068. The listed phone number is (443) 306-8307.

What is Patrick Van Middelem's specialty?

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

Is Patrick Van Middelem enrolled in Medicare?

Yes. Patrick Van Middelem is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Patrick Van Middelem was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.