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 1982672762

Pine Rest Christian Mental Health Services is a Professional Counselor in Grand Rapids, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
15
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Practice location Address checks out

300 68th St SE
Grand Rapids, MI 49548-6927
Phone: (616) 455-5270
Fax: (616) 281-6459
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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
Clinical Neuropsychologist Taxonomy 103G00000X
Psychologist Taxonomy 103T00000X
Social Worker Taxonomy 104100000X
Anesthesiology Physician Taxonomy 207L00000X
Internal Medicine Physician Taxonomy 207R00000X
Psychiatry Physician Taxonomy 2084P0800X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X
Psychiatric Residential Treatment Facility Taxonomy 323P00000X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1982672762
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Larue — Vp Contracting · (616) 281-6373
NPI enumeratedMarch 9, 2006
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025
Mailing address300 68th St Se, Po Box 165, Grand Rapids, MI 49548-6927

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