Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pine Rest Christian Mental Health Services

Organization Counselor · NPI 1124171954

Pine Rest Christian Mental Health Services is a Counselor in Traverse City, Michigan. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
13

Practice location Address checks out

700 E Hammond Rd Ste 200
Traverse City, MI 49686-8641
Phone: (231) 947-2255
Fax: (231) 947-5982
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Hospital (primary) Taxonomy 283Q00000X
Counselor Taxonomy 101Y00000X
Professional Counselor Taxonomy 101YP2500X
Clinical Neuropsychologist Taxonomy 103G00000X
Behavior Analyst Taxonomy 103K00000X
Psychologist Taxonomy 103T00000X
Social Worker Taxonomy 104100000X
School Social Worker Taxonomy 1041S0200X
Internal Medicine Physician Taxonomy 207R00000X
Psychiatry Physician Taxonomy 2084P0800X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1124171954
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPine Rest Christian Mental Health Services
Authorized official Diane Fennema — Managed Care Administrator · (616) 281-6372
NPI enumeratedJanuary 18, 2007
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address300 68th St Se, Grand Rapids, MI 49548-6927

Other providers in Traverse City