Matthew Edward Van de North, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0015386 Issued in CO

Practice address

4455 E 12TH Ave
Denver, CO 80220-2415

Phone

(303) 504-7700

NPI assigned

Aug 14, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health Center of DenverGroup PAC ID 3476440314, 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mental Health Center of Denver

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Denver, CO
  • NPI 1396566444
  Medicare reassignment Care Compare group NPD
• Mental Health Center of Denver

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Denver, CO
  • NPI 1407643679
  NPD
• Mental Health Center of Denver

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Denver, CO
  • NPI 1447242383
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1144653122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 E 12TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802202415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 E 12TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802202415",
            "telephone_number": "303-504-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DE NORTH",
        "first_name": "MATTHEW",
        "middle_name": "EDWARD",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-14",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0015386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann-Sophie Van Backle, DO
• Anne Elise Van Bekkum, M.A.
• Janice Lyles Van Bockern, PA-C
• Claudia Darlene Van Buren, R.N.
• Mary Ann Van Buskirk, M.A., M,DIV., LPC
• Rain T Van Den Berg, MPH
• Tiffany Baucum Van Deren, LPC
• John A Van Doorninck, MD
• Lauren Elizabeth Van Dorn, LPC, MAFP
• Stefanus JH Van Duursen, PT

• Professional Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.