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

Pine Rest Christian Mental Health Services

Organization Professional Counselor · NPI 1235895897

Pine Rest Christian Mental Health Services is a Professional Counselor in Grand Rapids, Michigan. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
11
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Practice location Address checks out

320 Commerce Ave SW
Grand Rapids, MI 49503-4101
Phone: (616) 258-7599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Hospital (primary) Taxonomy 283Q00000X
Professional Counselor Taxonomy 101YP2500X
Psychologist Taxonomy 103T00000X
Clinical Psychologist Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X
Psychiatry Physician Taxonomy 2084P0800X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1235895897
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Fennema — Managed Care Administrator · (616) 281-6372
Other names Pine Rest Community Services Substance Abuse; Pine Rest Community Services Substance Abuse
NPI enumeratedNovember 9, 2021
Last updated in NPPESMarch 11, 2022
Certification dateMarch 11, 2022
Mailing address300 68th St Se, Grand Rapids, MI 49548-6927

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