Individual provider Active NPI

David Glenn Markwell, PHD, LPC, NCC

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1336173541
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3565 Issued in GA
Practice address
2440 Sandy Plains Road
Building 21 Suite 200
Marietta, GA 30066-7233
Phone
(770) 993-9700
Fax
(770) 993-9800
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3565 GA Primary

Addresses

Primary practice location

2440 Sandy Plains Road
Building 21 Suite 200
Marietta, GA 30066-7233

Mailing address

2440 Sandy Plains Road
Building 21 Suite 200
Marietta, GA 30066-7233
Phone (770) 993-9700

Other identifiers 6

IdentifierTypeStateIssuer
201137OtherGABLUE CROSS BLUE SHIELD
2013OtherTRICARE
376933122CMedicaidGA
285087495OtherUNITED BEHAVORIAL
477177000OtherGAMAGELLAN
7007423OtherGAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20240325003886 GA Practitioner - Mental Health Counselor 0446696835 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3565GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeline Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1336173541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 SANDY PLAINS ROAD",
            "address_2": "BUILDING 21 SUITE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300667233",
            "telephone_number": "770-993-9700",
            "fax_number": "770-993-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SANDY PLAINS ROAD",
            "address_2": "BUILDING 21 SUITE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300667233",
            "telephone_number": "770-993-9700",
            "fax_number": "770-993-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKWELL",
        "first_name": "DAVID",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "3565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "201137",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "2013",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376933122C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVORIAL",
            "identifier": "285087495",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "477177000",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7007423",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.