Organization Active NPI

Ridgeline Counseling LLC

  • Community/Behavioral Health Agency
  • Marietta, GA
National Provider Identifier
1508058389
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3565 Issued in GA
Legal business name
RIDGELINE COUNSELING LLC
Practice address
2440 Sandy Plains Road
Building 21 Suite 200
Marietta, GA 30066-7233
Phone
(770) 993-9700
Fax
(770) 993-9800
NPI assigned
Aug 15, 2007
Organization subpart
No

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

Authorized official

Name
David Glenn MarkwellNPI 1336173541
Title
Owner
Phone
(770) 993-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240307002057 GA Part B Supplier - Clinic/Group Practice 6103262589 Receives reassigned benefits from 1 practitioner
Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1508058389",
    "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": {
        "organization_name": "RIDGELINE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "MARKWELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-993-9700"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "3565",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.