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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

OTTAWA COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
NPI 1861390817
Clinic/Center - Community Health in Holland, MI

Active since October 29, 2026
12265 JAMES ST, HOLLAND, MI 49424(616) 392-1873(616) 393-5687 Get Directions Write a Review

NPPES record added: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ottawa County Community Mental Health Authority NPPES

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

OTTAWA COUNTY COMMUNITY MENTAL HEALTH AUTHORITY (NPI 1861390817) is a healthcare organization registered as a community health in Holland, Michigan and active in the NPI registry since October 2026. The organization maintains 4 additional practice locations and lists Jennifer Allen, Credentialing Analyst, as its authorized official.

NPPES Registry Identity

NPI1861390817
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameOTTAWA COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Location Address12265 JAMES STHolland, MI 49424-8613
Mailing Address12265 James StHolland, MI 49424-8613 · (616) 392-1873 · Fax (616) 393-5687
Phone(616) 392-1873
Fax(616) 393-5687
Organization SubpartNo
Authorized OfficialJennifer AllenCredentialing Analyst · (616) 494-5562
Enumeration DateOctober 29, 2026
NPPES CertifiedOctober 29, 2026
✔ NPI 1861390817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
12265 JAMES ST, Holland, MI 49424
Open in Google Maps ↗

Other Names 1

Other NameOttawa County Community Mental Health-ccbhc

Secondary Practice Locations 4

Location 1347 Hoover Blvd Ste CHolland, MI 49423-5802 · Phone (616) 392-1873 · Fax (616) 393-5687
Location 212263 James StHolland, MI 49424-8613 · Phone (616) 392-1873 · Fax (616) 393-5687
Location 31111 Fulton AveGrand Haven, MI 49417-1529 · Phone (616) 392-1873 · Fax (616) 393-5687
Location 43100 Port Sheldon StHudsonville, MI 49426-9094 · Phone (616) 392-1873 · Fax (616) 393-5687

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.

SHERYL ANN MASCORRO RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
RHONDA MARIE RUTAN LLMSW
Social Worker (Clinical)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
MS. KATHLEEN D. SMITH PSYCHOLOGIST LLP
Psychologist (Intellectual and Developmental Disabilities)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
MADISYN DEHORN
Social Worker (Clinical)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 392-1873
ALEXZANDRIA MCCRUM
Social Worker (Clinical)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 392-1873
CHERYL SCHUT LBSW
Case Manager/Care Coordinator
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
SELENA WALTERS
Case Manager/Care Coordinator
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 392-1873
CHRISTINE A WILSON RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698

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 Ottawa County Community Mental Health Authority's NPI number?

The NPI number for Ottawa County Community Mental Health Authority is 1861390817. It was assigned to this organization in the NPPES registry on October 29, 2026. The provider is also known as Ottawa County Community Mental Health-CCBHC.

Where is Ottawa County Community Mental Health Authority located?

Ottawa County Community Mental Health Authority is located at 12265 James St, Holland, MI 49424. The listed phone number is (616) 392-1873.

What is Ottawa County Community Mental Health Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Ottawa County Community Mental Health Authority was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.