Active NPI
David Glenn Markwell, PHD, LPC, NCC
- Professional Counselor
- Marietta, GA
National Provider Identifier
1336173541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3565
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201137 | Other | GA | BLUE CROSS BLUE SHIELD |
| 2013 | Other | TRICARE | |
| 376933122C | Medicaid | GA | |
| 285087495 | Other | UNITED BEHAVORIAL | |
| 477177000 | Other | GA | MAGELLAN |
| 7007423 | Other | GA | AETNA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3565 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgeline Counseling LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Marietta, GA
- NPI 1508058389
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.