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Pine Rest Christian Mental Health Services

Physician Assistant in Grand Rapids, MI · enumerated 2015 · authorized official Diane Fennema, Managed Care Administator.

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

National Provider Identifier

1598138810

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Registry record

Entity type Organization (Type 2)
Legal business name Pine Rest Christian Mental Health Services
Practice address 1870 Leonard St Ne, Grand Rapids, MI, 49505
Enumeration date Nov 9, 2015
Last updated in NPPES Nov 4, 2020

Taxonomy & classification

101YP2500X Professional 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 Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Diane Fennema
Title Managed Care Administator

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 is the NPI number for Pine Rest Christian Mental Health Services?
The NPI for Pine Rest Christian Mental Health Services is 1598138810, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pine Rest Christian Mental Health Services?
NPPES lists Diane Fennema (Managed Care Administator) as the authorized official for this organization.

Providers at this address

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