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Pine Rest Christian Mental Health Services

Psychiatry Physician in Lake Odessa, MI · enumerated 2008 · authorized official Diane Fennema, Managed Care Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1427216241

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Registry record

Entity type Organization (Type 2)
Legal business name Pine Rest Christian Mental Health Services
Other name <Unavail>
Parent organization Pine Rest Lake Odessa Office
Practice address 4294 Laurel Dr, Lake Odessa, MI, 48849
Enumeration date May 29, 2008
Last updated in NPPES Nov 4, 2020

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
103T00000X Psychologist Behavioral Health & Social Service Providers Secondary
104100000X Social Worker Behavioral Health & Social Service Providers Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary
283Q00000X Psychiatric Hospital Hospitals Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Diane Fennema
Title Managed Care Administrator

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Pine Rest Christian Mental Health Services?
Pine Rest Christian Mental Health Services is registered in NPPES as a Psychiatry Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-04.