NPIMap

Pine Rest Christian Mental Health Services

Organization Active NPI Professional Counselor · Grand Rapids, MI

NPI 1386015683 · NPPES record last updated Nov 4, 2020

Key facts

NPI
1386015683
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
Legal business name
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
Practice address
300 68TH St SE
Grand Rapids, MI 49548-6927
Phone
(616) 281-6372
Fax
(616) 281-6459
NPI assigned
Oct 13, 2015
Organization subpart
No

Authorized official

Name
Diane Fennema
Title
Managed Care Administrator
Phone
(616) 281-6372

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Practitioners 698

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 698

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040213000149 MI Part B Supplier - Clinic/Group Practice 4981506508 Receives reassigned benefits from 135 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kalamazoo, MI; Zeeland, MI; Traverse City, MI; Spring Lake, MI; Portage, MI; Holland, MI; Hastings, MI; Grandville, MI…

National Provider Directory

Tax ID family
Pine Rest Chicago Area (42 organizations share this tax ID)

Locations (25 of 32)

5128 Meredith Dr
Des Moines, IA 50310
Phone (515) 669-0142

412 Jefferson St
Pella, IA 50219
Phone (515) 628-9599

1870 Leonard St NE
#A
Grand Rapids, MI 49505
Phone (616) 956-9619

80 68th St SE
Ste 300
Grand Rapids, MI 49548
Phone (616) 292-1995

1700 E Beltline Ave NE
Ste 240
Grand Rapids, MI 49525
Phone (616) 364-1500

620 Century Ave SW
Grand Rapids, MI 49503
Phone (616) 242-6400

221 Michigan St NE
Ste 406
Grand Rapids, MI 49503
Phone (616) 391-5701

245 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 456-5311

4328 Kalamazoo Ave SE
Grand Rapids, MI 49508
Phone (616) 260-3559

200 Jefferson Ave SE
#U
Grand Rapids, MI 49503
Phone (616) 685-6225

330 Barclay Ave NE
Grand Rapids, MI 49503
Phone (616) 391-8810

1700 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 222-3720

933 3 Mile Rd NW
#206
Grand Rapids, MI 49544
Phone (616) 222-3702

2303 Kalamazoo Ave SE
Grand Rapids, MI 49507
Phone (616) 242-6400

3292 N Evergreen Dr NE
#A
Grand Rapids, MI 49525
Phone (616) 365-8920

1700 E Beltline Ave NE
#240
Grand Rapids, MI 49525
Phone (616) 364-1500

933 3 Mile Rd NW
Ste 206
Grand Rapids, MI 49544
Phone (616) 222-3720

200 Jefferson Ave SE
Fl 8
Grand Rapids, MI 49503
Phone (616) 752-6611

4375 SW Canal Ave Ste 1
Grandville, MI 49418
Phone (616) 222-3700

4375 Canal SW Ave Ste 1
Grandville, MI 49418
Phone (616) 222-3700

4375 Canal St SW Ste 1
Grandville, MI 49418
Phone (616) 222-3700

450 Meadow Run Dr
Ste 300
Hastings, MI 49058
Phone (269) 408-9158

1005 W Green St
#301
Hastings, MI 49058

4294 Laurel Dr
Ofc
Lake Odessa, MI 48849

1150 E Sherman Blvd
Ste 1175
Norton Shores, MI 49444
Phone (231) 672-6740

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP		 101YP2500X MI Yes

Addresses

Primary practice location

300 68TH St SE
Grand Rapids, MI 49548-6927

Mailing address

300 68TH St SE
Grand Rapids, MI 49548-6927
Phone (616) 281-6372

Other providers in Grand Rapids, MI

All providers in Grand Rapids, MI · Professional Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.