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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WEDGWOOD CHRISTIAN SERVICES
NPI 1902997224
Clinic/Center - Mental Health (Including Community Mental Health Center) in Grand Rapids, MI

Active since September 28, 2006
3300 36TH ST SE, GRAND RAPIDS, MI 49512(616) 942-2110(616) 942-0589 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 21, 2026, Aug 27, 2026, Nov 4, 2024 and 3 more (6 updates tracked since 2018).

About Wedgwood Christian Services NPPES

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

WEDGWOOD CHRISTIAN SERVICES (NPI 1902997224) is a healthcare organization registered as a mental health (including community mental health center) in Grand Rapids, Michigan and active in the NPI registry since September 2006. The organization lists Daniel Troyce Gowdy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902997224
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameWEDGWOOD CHRISTIAN SERVICES
Location Address3300 36TH ST SEGrand Rapids, MI 49512
Mailing Address3300 36th St SeGrand Rapids, MI 49512 · (616) 942-2110 · Fax (616) 942-0589
Phone(616) 942-2110
Fax(616) 942-0589
Organization SubpartNo
Authorized OfficialDaniel Troyce GowdyCeo · (616) 392-1873
Enumeration DateSeptember 28, 2006
Last NPPES UpdateSeptember 21, 20266 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1902997224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X · License CI410201226 (MI), CI410201359 (MI), CI410201082 (MI), CICI410201003 (MI), CI410201501 (MI)
Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X · License CI410201502 (MI)
3300 36TH ST SE, Grand Rapids, MI 49512
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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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wedgwood Christian Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Wedgwood Christian Services, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Kimber Decker, MA
Mental Health Counselor
NPI 1144759655
3300 36TH ST SE
Grand Rapids, MI 49512
(616) 942-2110
✔ PECOS✔ Accepts MedicareSame address
Katherine Kunnen, DNP, FNP-C, PMHNP-BC
Nurse Practitioner
NPI 1003342551
3300 36TH ST SE
Grand Rapids, MI 49512
(616) 942-2110
✔ PECOS✔ Accepts MedicareSame address
Emily Nykamp, LMSW
Clinical Social Worker
NPI 1689232233
3300 36TH ST SE
Grand Rapids, MI 49512
(616) 942-2110
✔ PECOSSame address
Michelle Roberts, LMSW
Clinical Social Worker
NPI 1063898658
3300 36TH ST SE
Grand Rapids, MI 49512
(616) 942-2110
✔ PECOS✔ Accepts MedicareSame address
Brina Tiemeyer, LMSW
Clinical Social Worker
NPI 1932602760
3300 36TH ST SE
Grand Rapids, MI 49512
(616) 942-2110
✔ PECOSSame address
Nicholas Bayer, LMSW
Clinical Social Worker
NPI 1295206936
3250 36TH ST SE
Grand Rapids, MI 49512
(616) 260-3233
✔ PECOS✔ Accepts Medicare0.1 mi
Joel Sanchez, M.D.
Psychiatry
NPI 1104147511
375 APPLE TREE DR OFFICE OF MEDICAL DIRECTOR
Ionia, MI 48846
(616) 527-1790
✔ PECOS✔ Accepts Medicare27 mi
Ashley Rodriguez, LMSW
Clinical Social Worker
NPI 1700439502
950 W NORTON AVE STE 301
Muskegon, MI 49441
(616) 942-7294
✔ PECOS40 mi

Source: 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 Wedgwood Christian Services's NPI number?

The NPI number for Wedgwood Christian Services is 1902997224. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Wedgwood Christian Services located?

Wedgwood Christian Services is located at 3300 36th St SE, Grand Rapids, MI 49512. The listed phone number is (616) 942-2110.

What is Wedgwood Christian Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Wedgwood Christian Services enrolled in Medicare?

Yes. Wedgwood Christian Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wedgwood Christian Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Wedgwood Christian 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 Social Worker (5), Mental Health Counselor (1) and Nurse Practitioner (1). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wedgwood Christian Services 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 Wedgwood Christian 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 Wedgwood Christian Services was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.