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PINE REST CHRISTIAN MENTAL HEALTH SERVICES
NPI 1841791357
Counselor - Addiction (Substance Use Disorder) in Grand Rapids, MI

Active since February 21, 2018
300 68TH STREET SE, GRAND RAPIDS, MI 49548(616) 281-6372 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 4, 2020, Feb 21, 2018 (2 updates tracked since 2018).

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 1841791357) is a healthcare organization registered as an addiction (substance use disorder) in Grand Rapids, Michigan and active in the NPI registry since February 2018. The organization lists Diane Fennema, Managed Care Administrator, as its authorized official.

NPPES Registry Identity

NPI1841791357
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NamePINE REST CHRISTIAN MENTAL HEALTH SERVICES
Location Address300 68TH STREET SEGrand Rapids, MI 49548
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 281-6372 · Fax (616) 281-6459
Phone(616) 281-6372
Organization SubpartNo
Authorized OfficialDiane FennemaManaged Care Administrator · (616) 281-6372
Enumeration DateFebruary 21, 2018
Last NPPES UpdateNovember 4, 20202 updates tracked since enumeration
NPPES CertifiedNovember 4, 2020
✔ NPI 1841791357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MI · SA0410417
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X · License SA0410417 (MI)
300 68TH STREET SE, Grand Rapids, MI 49548
Open in Google Maps ↗

Other Identifiers 1

OtherSA0410417MI · Bc/bs Substance Abuse - Campus Clinic 1

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

Other Providers at the Same Location NPPES 9

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

DR. TALAL KHAN M.D.
Psychiatry & Neurology (Psychiatry)
300 68TH STREET SE, PINE REST CHRISTIAN MENTAL HEALTH SERVICE,
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
ANTHONY N FRYLING DLLP
Psychologist
300 68TH STREET SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5270
DR. ALISHA RENEE THIBAULT-HLADKI MD
Psychiatry & Neurology (Psychiatry)
300 68TH STREET SE, PINE REST CHRISTIAN MENTAL HEALTH SERVICES
GRAND RAPIDS, MI 49548
Kent County (616) 456-0842
SHARITA MONTIEZ HALL LMSW
Social Worker
300 68TH STREET SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
MRS. SANDRA MASSELINK LMSW
Social Worker (Clinical)
300 68TH STREET SE, PINE REST CHRISTIAN MENTAL HEALTH SERVICES
GRAND RAPIDS, MI 49548
Kent County (616) 795-1148
DR. HEIDI JUEL VROLIJK MD
Psychiatry & Neurology (Psychiatry)
300 68TH STREET SE, PINE REST CHRISTIAN MENTAL HEALTH SERVICES
GRAND RAPIDS, MI 49548
Kent County (616) 456-0842
DR. ZACHARY DAVID LOY DO
Psychiatry & Neurology (Psychiatry)
300 68TH STREET SE, PINE REST CHRISTIAN MENTAL HEALTH SERVICES
GRAND RAPIDS, MI 49548
Kent County (616) 456-0842
STEVEN S CLEVENGER DO
Psychiatry & Neurology (Psychiatry)
300 68TH STREET SE
GRAND RAPIDS, MI 49548
Kent County (800) 678-5500

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 1841791357. It was assigned to this organization in the NPPES registry on February 21, 2018.

Where is Pine Rest Christian Mental Health Services located?

Pine Rest Christian Mental Health Services is located at 300 68th Street 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 Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

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.