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Pine Rest Christian Mental Health Services

Addiction (Substance Use Disorder) Counselor in Grand Rapids, MI · enumerated 2018 · authorized official Diane Fennema, Managed Care Administrator.

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

National Provider Identifier

1841791357

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Registry record

Entity type Organization (Type 2)
Legal business name Pine Rest Christian Mental Health Services
Practice address 300 68th Street Se, Grand Rapids, MI, 49548
Phone (616) 281-6372
Enumeration date Feb 21, 2018
Last updated in NPPES Nov 4, 2020

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License SA0410417 (MI) Primary
324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities · License SA0410417 (MI) Secondary

Authorized official

Name Diane Fennema
Title Managed Care Administrator
Phone (616) 281-6372

Other identifiers

Identifier Type State Issuer
SA0410417 Other MI BC/BS SUBSTANCE ABUSE - CAMPUS CLINIC 1

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

Who is the authorized official for Pine Rest Christian Mental Health Services?
NPPES lists Diane Fennema (Managed Care Administrator) as the authorized official for this organization.
What is the NPI number for Pine Rest Christian Mental Health Services?
The NPI for Pine Rest Christian Mental Health Services is 1841791357, a Type 2 (organization) record in the CMS NPPES registry.

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