PINE REST TELEHEALTH CLINIC
NPI 1568040368
Social Worker in Grand Rapids, MI
NPI Status: Active since April 01, 2021
Contact Information
300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548
Phone: (616) 281-6372
Fax: (616) 281-6459
- Organization
- Social Worker
About PINE REST TELEHEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Pine Rest Telehealth Clinic, a provider established in Grand Rapids, Michigan operating as a Social Worker. The healthcare provider is registered in the NPI registry with number 1568040368 assigned on April 2021. The practitioner's primary taxonomy code is 104100000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Pine Rest Telehealth Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Pine Rest Telehealth Clinic. The authorized official of this NPI record is Diane M Fennema (Managed Care Administrator)
- NPI
- 1568040368
- Provider Legal Name
- PINE REST CHRISTIAN MENTAL HEALTH SERVICES
- Other Organization Name
- PINE REST TELEHEALTH CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 300 68TH ST SE GRAND RAPIDS, MI 49548
- Location Phone
- (616) 281-6372
- Location Fax
- (616) 281-6459
- Mailing Address
- 300 68TH ST SE GRAND RAPIDS, MI 49548
- Mailing Phone
- (616) 281-6372
- Mailing Fax
- (616) 281-6459
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-01-2021
- Last Update Date
- 03-11-2022
- Code Navigator
A social worker like Pine Rest Telehealth Clinic helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
| 4 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | |
| 5 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 6 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 7 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 8 | 2084P0802X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 9 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | |
| 10 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 11 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 12 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1568040368, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GRAND RAPIDS, MI 49548
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568040368, enumerated as an "organization" on April 01, 2021.
The provider is located at 300 68TH ST SE GRAND RAPIDS, MI 49548 and the phone number is (616) 281-6372.
Social Worker with taxonomy code 104100000X.
