Active NPI
Kevin Van Middelburg, ACMHC
- Mental Health Counselor
- Cottonwood Heights, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 7025 S Park Centre Dr
Cottonwood Heights, UT 84121-6619 - Phone
- (385) 548-1925
- NPI assigned
- Jun 22, 2024
- Last updated
- Apr 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Art Therapist | 221700000X |
Addresses
Primary practice location
7025 S Park Centre Dr
Cottonwood Heights, UT 84121-6619
Mailing address
PO Box 271102
Salt Lake City, UT 84127-1102
Phone (760) 527-2269
Other practice location 1
172 N East Promontory Ste 270
Farmington, UT 84025-2964
Phone (801) 382-8238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbor Counseling Utah LLC | Mental Health | Current | Accepting new patients |
| CS Psychiatry, P.C. | Past | Accepting new patients |
Locations
5667 S Redwood Rd
#6
Taylorsville, UT 84123
Phone (385) 425-3196
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Arbor Counseling
- Clinical Social Worker
- Taylorsville, UT
- NPI 1902274731
Mental Health
-
dba Clear Sky Psychiatry & Therapy
- Child & Adolescent Psychiatry Physician
- Farmington, UT
- NPI 1548914344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775952000000",
"number": "1912741083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 271102",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841271102",
"telephone_number": "760-527-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7025 S PARK CENTRE DR",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "841216619",
"telephone_number": "385-548-1925"
}
],
"practiceLocations": [
{
"address_1": "172 N East Promontory Ste 270",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "UT",
"postal_code": "840252964",
"country_code": "US",
"telephone_number": "801-382-8238",
"fax_number": "866-560-4702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN MIDDELBURG",
"first_name": "KEVIN",
"credential": "ACMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-22",
"last_updated": "2026-04-12",
"certification_date": "2026-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cottonwood Heights, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.