DAVID MARKHAM LPC, CAADC, CCS
NPI 1053763649
Counselor - Professional in Grand Rapids, MI

Active since July 07, 2016PECOS EnrolledAccepts Medicare Assignment
1870 LEONARD ST NE, GRAND RAPIDS, MI 49505(616) 956-9619 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2025, Oct 6, 2021, May 18, 2018 (3 updates tracked since 2018).

About David Markham Lpc, Caadc, Ccs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID MARKHAM LPC, CAADC, CCS (NPI 1053763649) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401017264) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1053763649
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDAVID MARKHAMCredential: LPC, CAADC, CCS
Location Address1870 LEONARD ST NEGrand Rapids, MI 49505-5650
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 7, 2016
Last NPPES UpdateJune 4, 20253 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1053763649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401017264
1870 LEONARD ST NE, Grand Rapids, MI 49505

Secondary Practice Locations 2

Location 11611 Oak AveMuskegon, MI 49442-2468 · Phone (231) 767-1921 ext. 7786 · Fax (231) 767-0527
Location 2300 68th St SEGrand Rapids, MI 49548-6927 · Phone (162) 587-4676

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Markham Lpc, Caadc, Ccs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638601602
PECOS Enrollment IDI20241015002850
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show David Markham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
300 68TH ST SE
Grand Rapids, MI 49548
  • Reassigned Medicare billing, Michigan enrollment
  • 135 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
376 E APPLE AVENUE
Muskegon, MI 49442
  • Reassigned Medicare billing, Michigan enrollment
  • 58 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1870 LEONARD ST NE
GRAND RAPIDS, MI 49505
Counselor (Professional)
1870 LEONARD ST NE
GRAND RAPIDS, MI 49505
Social Worker (Clinical)
1870 LEONARD ST NE
GRAND RAPIDS, MI 49505
Social Worker (Clinical)
1870 LEONARD ST NE
GRAND RAPIDS, MI 49505
Physician Assistant
1870 LEONARD ST NE
GRAND RAPIDS, MI 49505
Social Worker (Clinical)
1870 LEONARD ST NE
GRAND RAPIDS, MI 49505
Social Worker (Clinical)
1870 LEONARD ST NE
GRAND RAPIDS, MI 49505
Social Worker (Clinical)
1870 LEONARD ST NE
GRAND RAPIDS, MI 49505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Markham's NPI number?

The NPI number for David Markham is 1053763649. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Where is David Markham located?

David Markham practices at 1870 Leonard St NE, Grand Rapids, MI 49505. The listed phone number is (616) 956-9619.

What is David Markham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is David Markham enrolled in Medicare?

Yes. David Markham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for David Markham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Markham reassigns Medicare benefits to 2 organizations: Pine Rest Christian Mental Health Services (Grand Rapids, MI) and County Of Muskegon (Muskegon, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Markham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Markham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list David Markham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Markham was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.