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: July 19, 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
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

Medicare Participation & PECOS Enrollment Status

Patrick Van Middelem is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for PATRICK VAN MIDDELEM MS, LPC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Counselor (Mental Health)
1000 JOHNSON FERRY RD STE E150
MARIETTA, GA 30068
Counselor (Professional)
1000 JOHNSON FERRY RD STE E150
MARIETTA, GA 30068
Counselor (Mental Health)
1000 JOHNSON FERRY RD STE E150
MARIETTA, GA 30068
Counselor (Professional)
1000 JOHNSON FERRY RD STE E150
MARIETTA, GA 30068
Counselor (Professional)
1000 JOHNSON FERRY RD STE E150
MARIETTA, GA 30068

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821430570, enumerated as an "individual" on July 23, 2013.

The provider is located at 1000 JOHNSON FERRY RD STE E150 MARIETTA, GA 30068 and the phone number is (443) 306-8307.

Counselor with taxonomy code 101YP2500X and a focus in Professional.