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GRAND RAPIDS
NPI 1528104643
Community/Behavioral Health in Grand Rapids, MI

Active since January 29, 2007CLIA 23D2250463 · Waiver
901 EASTERN AVE NE, GRAND RAPIDS, MI 49503(616) 224-7617(616) 224-7593 Get Directions Write a Review

NPPES record last updated: October 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Rapids NPPES

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

GRAND RAPIDS (NPI 1528104643) is a healthcare organization registered as a community/behavioral health in Grand Rapids, Michigan and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through January 26, 2028 and lists George John Tyndall, Branch Director, as its authorized official.

NPPES Registry Identity

NPI1528104643
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBETHANY CHRISTIAN SERVICES INC.
Location Address901 EASTERN AVE NEGrand Rapids, MI 49503-1201
Mailing Address901 Eastern Ave Ne, P.o. Box 294Grand Rapids, MI 49503-1201 · (616) 224-7617 · Fax (616) 224-7593
Phone(616) 224-7617
Fax(616) 224-7593
Organization SubpartNo
Authorized OfficialGeorge John TyndallBranch Director · (616) 224-7617
Enumeration DateJanuary 29, 2007
Last NPPES UpdateOctober 24, 2013
✔ NPI 1528104643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MI · 410218
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCase ManagementTaxonomy 251B00000X · License CB410200976 (MI)
Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X · License 635720364 (MI)
901 EASTERN AVE NE, Grand Rapids, MI 49503
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Other Names 1

Other NameGrand Rapids

Other Identifiers 2

Medicare ID-Type Unspecified0D16266MI · Medicare Group Billing
Medicare ID-Type Unspecified0P19460MI · Psychiatric Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2250463

Grand Rapids Fire Department · Grand Rapids, MI
Active · expires Jan 26, 2028
CLIA Number23D2250463
Laboratory TypeFire Dept Ems
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateJanuary 26, 2028
Laboratory DirectorMark Fankhauser
Laboratory Phone(616) 456-3911
Laboratory LocationGrand Rapids Fire Department38 Lagrave Avenue S E, Grand Rapids, MI 49503
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DANA KAY ANDERSON MA, LLPC
Counselor (Mental Health)
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 254-7741
BRITTANI SHAW
Counselor (Mental Health)
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 818-4803
MARY ROSE
Social Worker (School)
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 375-6478
ELISE MARGARET MEYER LMSW
Social Worker (Clinical)
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 965-8020
MR. LLYOD MARK PETERSON LMSW
Social Worker (Clinical)
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 224-7617
RACHEL KOWATCH LMSW
Social Worker (Clinical)
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 224-7617
BETHANY CHRISTIAN SERVICES
Social Worker (Clinical)
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 224-7617
ATHEAMA HOFF LLMSW
Counselor (Mental Health)
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 254-7749

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 Bethany Christian Services Inc.'s NPI number?

The NPI number for Bethany Christian Services Inc. is 1528104643. It was assigned to this organization in the NPPES registry on January 29, 2007. The provider is also known as Grand Rapids.

Where is Bethany Christian Services Inc. located?

Bethany Christian Services Inc. is located at 901 Eastern Ave NE, Grand Rapids, MI 49503. The listed phone number is (616) 224-7617.

What is Bethany Christian Services Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Bethany Christian Services Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2250463) is associated with this NPI, valid through January 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bethany Christian Services Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Bethany Christian Services Inc. 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 Bethany Christian Services Inc. was last updated on October 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.