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 Mental Health Counselor · NPI 1427216241

Pine Rest Christian Mental Health Services is a Mental Health Counselor in Lake Odessa, Michigan. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
7

Practice location Address checks out

4294 Laurel Dr
Lake Odessa, MI 48849-9423
Phone: (616) 891-8770
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Mental Health Counselor Taxonomy 101YM0800X
Psychologist Taxonomy 103T00000X
Social Worker Taxonomy 104100000X
Psychiatric Hospital Taxonomy 283Q00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1427216241
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPine Rest Lake Odessa Office
Authorized official Diane Fennema — Managed Care Administrator · (616) 281-6372
Other names Pine Rest Lake Odessa Office; Pine Rest Lake Odessa Office
NPI enumeratedMay 29, 2008
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing address300 68th St Se, Grand Rapids, MI 49548-6927

Other providers in Lake Odessa