DAVID MARKHAM (LPC, CAADC, CCS) – Professional Counselor, NPI 1053763649
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,023 MENTAL HEALTH COUNSELOR in MI
Provider Addresses for DAVID MARKHAM (LPC, CAADC, CCS)
1611 Oak Ave
Muskegon, MI 494422468
Phone: (231) 767-1921
Fax: (231) 767-0527
Type: Location
300 68TH ST SE
GRAND RAPIDS, MI 495486927
Phone: (616) 455-5000
Type: Mailing
300 68th St SE
Grand Rapids, MI 495486927
Phone: (162) 587-4676
Type: Location
1485, Paw Paw Avenue, Benton Harbor, Benton Charter Township, Berrien County, Michigan, 49022, United States
BENTON HARBOR, MI 490225711
Phone: (269) 934-4082
Type: Mailing
1611 OAK AVE
MUSKEGON, MI 494422468
Phone: (231) 767-1921
Fax: (231) 767-0527
Type: Mailing
1870 LEONARD ST NE
GRAND RAPIDS, MI 495055650
Phone: (616) 956-9619
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-10-15
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241015002850 | I | Mental Health Counselor | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49442)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | MI | |
| Mental Health Counselor | MI | |
| - | MI | |
| P S Y C H I A T R Y | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Physician Assistant | MI |
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