Active NPI
Dove of Peace Christian Counseling PLLC
- Mental Health Counselor
- Ira, MI
National Provider Identifier
1225746969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- DOVE OF PEACE CHRISTIAN COUNSELING PLLC
- Practice address
- 8811 Vernier Rd
Ira, MI 48023-2909 - Phone
- (586) 307-4659
- Fax
- (586) 500-9584
- NPI assigned
- Nov 11, 2022
- Last updated
- Sep 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary M Grettenberger
- Title
- Owner
- Phone
- (586) 443-1834
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
8811 Vernier Rd
Ira, MI 48023-2909
Mailing address
8811 Vernier Rd Ste a
Ira, MI 48023-2909
Phone (586) 307-4659
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | OTHER | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
51145 Washington St
Ste H
New Baltimore, MI 48047
Phone (586) 307-4659
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Ira, MI
- NPI 1013520550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1225746969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8811 VERNIER RD STE A",
"city": "IRA",
"state": "MI",
"postal_code": "480232909",
"telephone_number": "586-307-4659",
"fax_number": "586-500-9584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8811 VERNIER RD",
"city": "IRA",
"state": "MI",
"postal_code": "480232909",
"telephone_number": "586-307-4659",
"fax_number": "586-500-9584"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOVE OF PEACE CHRISTIAN COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-11",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "GRETTENBERGER",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-443-1834"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "OTHER",
"affiliation": "N",
"endpointDescription": "OTHER",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "51145 Washington St Ste H",
"city": "New Baltimore",
"state": "MI",
"country_code": "US",
"postal_code": "480472100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ira, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.