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 1598138810

Pine Rest Christian Mental Health Services is a Professional Counselor in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
Specialties on file
6
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Practice location Address checks out

1870 Leonard St NE
Grand Rapids, MI 49505-5650
Phone: (616) 956-9619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (MI)
Professional Counselor Taxonomy 101YP2500X (MI)
Psychologist Taxonomy 103T00000X (MI)
Social Worker Taxonomy 104100000X (MI)
Psychiatry Physician Taxonomy 2084P0800X (MI)
Nurse Practitioner Taxonomy 363L00000X (MI)

Record details

NPI number1598138810
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Fennema — Managed Care Administator · (616) 281-6372
NPI enumeratedNovember 9, 2015
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing address300 68th St Se, Grand Rapids, MI 49548-6927

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