Individual provider Active NPI

Christine Pike

  • Professional Counselor
  • Clinton TWP, MI
National Provider Identifier
1336657477
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64510225220 Issued in MI
Practice address
42815 Garfield Rd Ste 201
Clinton TWP, MI 48038-1143
Phone
(586) 333-5328
NPI assigned
Jan 10, 2018
Reactivated
Oct 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 64510225220 MI Primary

Addresses

Primary practice location

42815 Garfield Rd Ste 201
Clinton TWP, MI 48038-1143

Mailing address

3134 Wright St
Port Huron, MI 48060-2263
Phone (586) 817-8006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240801003422 MI Practitioner - Mental Health Counselor 7315484821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pure Psychiatry of Michigan PLLCGroup PAC ID 1254741283, 102 clinicians

Practice addresses (Care Compare)

3031 Commerce Dr
Suite a
Fort Gratiot, MI 48059-4515
Phone (810) 292-0557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64510225220MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Psychiatry of Michigan PLLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

3031 Commerce Dr
Ste A
Fort Gratiot, MI 48059
Phone (810) 292-0557

1803 Whites Rd
Ste 2
Kalamazoo, MI 49008
Phone (269) 238-1990

34841 Veterans Plz
Wayne, MI 48184
Phone (313) 292-7640

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1336657477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3134 WRIGHT ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480602263",
            "telephone_number": "586-817-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42815 GARFIELD RD STE 201",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381143",
            "telephone_number": "586-333-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "deactivation_date": "2022-10-04",
        "reactivation_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "64510225220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.