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 1487837506

Pine Rest Christian Mental Health Services is a Professional Counselor in Grand Rapids, Michigan. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
14
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Practice location Address checks out

300 68th St SE
Grand Rapids, MI 49548-6927
Phone: (616) 455-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Professional Counselor Taxonomy 101YP2500X
Behavior Analyst Taxonomy 103K00000X
Psychologist Taxonomy 103T00000X
Social Worker Taxonomy 104100000X
Internal Medicine Physician Taxonomy 207R00000X
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X
Psychiatry Physician Taxonomy 2084P0800X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X
Psychiatric Hospital Taxonomy 283Q00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1487837506
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPine Rest Christian Mental Health Services
Authorized official Diane Fennema — Managed Care Administator · (616) 281-6372
NPI enumeratedDecember 12, 2007
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address300 68th St Se, Grand Rapids, MI 49548-6927

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