PINE REST CHRISTIAN MENTAL HEALTH SERVICES
NPI 1326117805
Psychiatry & Neurology - Psychiatry in Pella, IA

Active since November 07, 2006
2611 WASHINGTON STREET, PELLA, IA 50219(641) 628-9599(641) 621-1493 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2020, Aug 22, 2020 (2 updates tracked since 2020).

About Pine Rest Christian Mental Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINE REST CHRISTIAN MENTAL HEALTH SERVICES (NPI 1326117805) is a healthcare organization registered as a psychiatry in Pella, Iowa and active in the NPI registry since November 2006. The organization lists Diane Fennema, Managed Care Administrator, as its authorized official.

NPPES Registry Identity

NPI1326117805
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePINE REST CHRISTIAN MENTAL HEALTH SERVICES
Location Address2611 WASHINGTON STREETPella, IA 50219
Mailing Address2611 Washington StreetPella, IA 50219 · (641) 628-9599 · Fax (641) 621-1493
Fax(641) 621-1493
Organization SubpartNo
Authorized OfficialDiane FennemaManaged Care Administrator · (162) 816-3726
Enumeration DateNovember 7, 2006
Last NPPES UpdateNovember 4, 20202 updates tracked since enumeration
NPPES CertifiedNovember 4, 2020
✔ NPI 1326117805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial WorkerTaxonomy 104100000X
2611 WASHINGTON STREET, Pella, IA 50219

Other Identifiers 1

Medicaid0295840IA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pine Rest Christian Mental Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Pine Rest Christian Mental Health Services, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Clinical Social Worker
NPI 1881930725
2611 WASHINGTON ST
Pella, IA 50219
(641) 628-9599
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1245434208
2301 1ST AVE E
Newton, IA 50208
(641) 381-5706
✔ PECOS✔ Accepts Medicare21 mi
Clinical Social Worker
NPI 1104173921
808 5TH AVE
Des Moines, IA 50309
(515) 244-2267
✔ PECOS✔ Accepts Medicare37 mi
Clinical Social Worker
NPI 1871896530
6200 AURORA AVE
Urbandale, IA 50322
(515) 331-0303
✔ PECOS✔ Accepts Medicare42 mi
Clinical Psychologist
NPI 1578922381
2100 MANCHESTER RD STE 1510
Wheaton, IL 60187
(630) 653-1717
251 mi
Clinical Social Worker
NPI 1992733182
300 68TH ST SE
Grand Rapids, MI 49548
(616) 559-5896
✔ PECOS✔ Accepts Medicare388 mi
Clinical Social Worker
NPI 1013952167
300 68TH ST SE
Grand Rapids, MI 49548
(616) 455-5270
✔ PECOS✔ Accepts Medicare388 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pine Rest Christian Mental Health Services's NPI number?

The NPI number for Pine Rest Christian Mental Health Services is 1326117805. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is Pine Rest Christian Mental Health Services located?

Pine Rest Christian Mental Health Services is located at 2611 Washington Street, Pella, IA 50219. The listed phone number is (641) 628-9599.

What is Pine Rest Christian Mental Health Services's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Pine Rest Christian Mental Health Services enrolled in Medicare?

Yes. Pine Rest Christian Mental Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pine Rest Christian Mental Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Pine Rest Christian Mental Health Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (5) and Clinical Psychologist (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pine Rest Christian Mental Health Services was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.