PINE REST CHRISTIAN MENTAL HEALTH SERVICES
NPI 1386015683
Counselor - Professional in Grand Rapids, MI
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 1386015683) is a healthcare organization registered as a professional in Grand Rapids, Michigan and active in the NPI registry since October 2015. The organization lists Diane Fennema, Managed Care Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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
135Medicare enrollment records show 135 clinicians reassign Medicare billing to Pine Rest Christian Mental Health Services, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 61 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 135Source: 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 1386015683. It was assigned to this organization in the NPPES registry on October 13, 2015.
Where is Pine Rest Christian Mental Health Services located?
Pine Rest Christian Mental Health Services is located at 300 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 281-6372.
What is Pine Rest Christian Mental Health Services's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
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), 135 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 Psychologist (72) and Mental Health Counselor (63). Of these, 6 practice at this address and 61 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pine Rest Christian Mental Health Services accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Pine Rest Christian Mental Health Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 6 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.
# Pine Rest Christian Mental Health Services · NPI 1386015683
Professional organization in Grand Rapids, Michigan. Organization record, active in the CMS NPPES registry since October 13, 2015.
## Identity
- **NPI:** 1386015683 (Entity type: Organization)
- **Enumerated:** October 13, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Diane Fennema, MANAGED CARE ADMINISTRATOR
## Practice location
- **Address:** 300 68TH ST SE, Grand Rapids, MI 49548-6927
- **Phone:** (616) 281-6372 · **Fax:** (616) 281-6459
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 135 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (72), Mental Health Counselor (63); 6 practice at this address and 61 within 10 miles; [full list](https://npiprofile.com/npi/1386015683/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 4, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1386015683) · Data from the CMS NPPES public registry.