Organization Active NPI

Compassionate Christian Therapy, LLC

  • Clinical Social Worker
  • Grand Haven, MI
National Provider Identifier
1295393478
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COMPASSIONATE CHRISTIAN THERAPY, LLC
Practice address
16175 Robbins Rd Ste 2
Grand Haven, MI 49417-9403
Phone
(616) 920-1335
NPI assigned
Jun 3, 2019
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Brenda Ann Vette WachterNPI 1003902495
Title
Owner
Phone
(231) 557-9799

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

16175 Robbins Rd Ste 2
Grand Haven, MI 49417-9403

Mailing address

16175 Robbins Rd Ste 2
Grand Haven, MI 49417-9403
Phone (616) 920-1335

Other identifiers 1

IdentifierTypeStateIssuer
1003902495MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190909001151 MI Part B Supplier - Clinic/Group Practice 9638408180 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Haven, MI

National Provider Directory

National Provider Directory

Locations

16175 Robbins Rd
Ste 2
Grand Haven, MI 49417
Phone (616) 920-1335

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": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1295393478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16175 ROBBINS RD STE 2",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179403",
            "telephone_number": "616-920-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16175 ROBBINS RD STE 2",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179403",
            "telephone_number": "616-920-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CHRISTIAN THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "WACHTER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "ANN VETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-557-9799"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003902495",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.