Individual provider Active NPI

Luke Jason Markham, LMSW

  • Clinical Social Worker
  • Caledonia, MI
National Provider Identifier
1679202238
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801112203 Issued in MI
Practice address
8646 Pasture Rd SE
Caledonia, MI 49316-8128
Phone
(616) 550-6270
NPI assigned
Jun 8, 2022
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801112203 MI Primary

Addresses

Primary practice location

8646 Pasture Rd SE
Caledonia, MI 49316-8128

Mailing address

8646 Pasture Rd SE
Caledonia, MI 49316-8128
Phone (616) 550-6270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20230222001203 MI Practitioner - Clinical Social Worker 4082087002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portal Point Counseling LLCGroup PAC ID 5698002418, 3 clinicians

Practice addresses (Care Compare)

1428 44TH St SW
Suite B
Wyoming, MI 49509-4312
Phone (616) 279-1551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Portal Point Counseling, LLC CurrentSince Nov 17, 2022 Accepting new patients

Locations

1428 44th St SW
Ste B
Wyoming, MI 49509
Phone (616) 279-1551

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1679202238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8646 PASTURE RD SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493168128",
            "telephone_number": "616-550-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8646 PASTURE RD SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493168128",
            "telephone_number": "616-550-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKHAM",
        "first_name": "LUKE",
        "middle_name": "JASON",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801112203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MI

Sources for this page

Verify at the official NPI Registry.