Organization Active NPI

Dove of Peace Christian Counseling PLLC

  • Mental Health Counselor
  • Ira, MI
National Provider Identifier
1225746969
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary M GrettenbergerNPI 1013520550
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PENDINGMedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL OTHER Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230221001231 MI Part B Supplier - Clinic/Group Practice 5597137547 Receives reassigned benefits from 1 practitioner
Practice locations: New Baltimore, MI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.