| Pine Rest Christian Mental Health Services | |
|
300 68th St Se Grand Rapids MI 49548-6927 | |
| (616) 455-5000 | |
| Not Available |
| Full Name | Pine Rest Christian Mental Health Services |
|---|---|
| Speciality | Psychologist |
| Location | 300 68th St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Diane Fennema (MANAGED CARE ADMINISTRATOR) |
| Authorized Official Contact | 6162816372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Rest Christian Mental Health Services 300 68th St Se Grand Rapids MI 49548-6927 Ph: (616) 455-5000 | Pine Rest Christian Mental Health Services 300 68th St Se Grand Rapids MI 49548-6927 Ph: (616) 455-5000 |
| NPI Number | 1780695411 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 11/04/2020 |
| Certification Date | 11/04/2020 |
| Medicare PECOS PAC ID | 4981506508 |
|---|---|
| Medicare Enrollment ID | O20040213000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780695411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Mark E Devries |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265476220 PECOS PAC ID: 5395643332 Enrollment ID: I20031229000588 |
| Provider Name | Brent M Ellens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932145729 PECOS PAC ID: 5799670931 Enrollment ID: I20040217000985 |
| Provider Name | Brant T Vanorman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437165404 PECOS PAC ID: 8022001270 Enrollment ID: I20040405001285 |
| Provider Name | Dennis M Beaufait |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538277058 PECOS PAC ID: 6507834389 Enrollment ID: I20040920000742 |
| Provider Name | Brett C Vantol |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942389481 PECOS PAC ID: 6305806597 Enrollment ID: I20041013000414 |
| Provider Name | Kimberlee J Prose |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861428161 PECOS PAC ID: 4082632880 Enrollment ID: I20051110000286 |
| Provider Name | Marc S Houck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366496630 PECOS PAC ID: 5890706246 Enrollment ID: I20060522000071 |
| Provider Name | Rachel A Cheyne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194760124 PECOS PAC ID: 7315035078 Enrollment ID: I20071113000514 |
| Provider Name | Judith Bernard Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982875910 PECOS PAC ID: 2860563921 Enrollment ID: I20080617000359 |
| Provider Name | Matthew W Bush |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003856113 PECOS PAC ID: 5092882282 Enrollment ID: I20080930000751 |
| Provider Name | Jennifer Sachek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457530891 PECOS PAC ID: 5092871244 Enrollment ID: I20090313000022 |
| Provider Name | Gregory J Worthington |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982839767 PECOS PAC ID: 4688724784 Enrollment ID: I20090611000294 |
| Provider Name | Jamie L Wieber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184632846 PECOS PAC ID: 1254479827 Enrollment ID: I20091119000300 |
| Provider Name | Tory A Seif |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841206091 PECOS PAC ID: 6002911187 Enrollment ID: I20100204000386 |
| Provider Name | Ryan D Jaarsma |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679509392 PECOS PAC ID: 9931232204 Enrollment ID: I20100813000034 |
| Provider Name | Stephen R Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285640268 PECOS PAC ID: 0446384382 Enrollment ID: I20100814000221 |
| Provider Name | Timothy J Zwart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366450140 PECOS PAC ID: 3173657012 Enrollment ID: I20100814000226 |
| Provider Name | Pamela A White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417965195 PECOS PAC ID: 8527192467 Enrollment ID: I20100814000229 |
| Provider Name | Ronald J De Vries |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790757292 PECOS PAC ID: 7113041021 Enrollment ID: I20100830000669 |
| Provider Name | Krista Kay Oliver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033150198 PECOS PAC ID: 1759576994 Enrollment ID: I20101112000672 |
| Provider Name | Constance L Devantier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053352807 PECOS PAC ID: 3173718335 Enrollment ID: I20101112000876 |
| Provider Name | Melissa A Vanorman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790790517 PECOS PAC ID: 2365637543 Enrollment ID: I20101112001148 |
| Provider Name | Bruce K Retterath |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568477842 PECOS PAC ID: 1759577596 Enrollment ID: I20101119000104 |
| Provider Name | Joanne L Kolean |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154350643 PECOS PAC ID: 4284821018 Enrollment ID: I20101206001290 |
| Provider Name | Thomas S Halstead |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992733653 PECOS PAC ID: 8426245812 Enrollment ID: I20101210000790 |
| Provider Name | Gary A Burkhart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598712184 PECOS PAC ID: 8628257284 Enrollment ID: I20110127001107 |
| Provider Name | David John Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407150022 PECOS PAC ID: 6800078890 Enrollment ID: I20110311000796 |
| Provider Name | Mark R Steenwyk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821322116 PECOS PAC ID: 5698811263 Enrollment ID: I20110803000765 |
| Provider Name | Leisha Jane Cuddihy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700173978 PECOS PAC ID: 4183891088 Enrollment ID: I20120117000835 |
| Provider Name | Anne M Manees |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831320407 PECOS PAC ID: 0749438026 Enrollment ID: I20120911000436 |
| Provider Name | Selina M Hill Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538396817 PECOS PAC ID: 3375791650 Enrollment ID: I20120911000455 |
| Provider Name | Keith A Louwerse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174750459 PECOS PAC ID: 4082800834 Enrollment ID: I20120911000676 |
| Provider Name | Lindsey M Root Luna |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699939793 PECOS PAC ID: 7517116510 Enrollment ID: I20121008000552 |
| Provider Name | Daniel S Post |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871813089 PECOS PAC ID: 3779734876 Enrollment ID: I20121120000265 |
| Provider Name | Sera A Gruszka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093943359 PECOS PAC ID: 6507017514 Enrollment ID: I20121120000516 |
| Provider Name | Lesley A Hetterscheidt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164742847 PECOS PAC ID: 4981859022 Enrollment ID: I20130221000392 |
| Provider Name | Sarah J Muench |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366679359 PECOS PAC ID: 0143475293 Enrollment ID: I20130221000413 |
| Provider Name | Elizabeth A Cyr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750601431 PECOS PAC ID: 4981844966 Enrollment ID: I20130716000496 |
| Provider Name | Julie Smithee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659449007 PECOS PAC ID: 3577798057 Enrollment ID: I20131109000495 |
| Provider Name | Anthony Nelson Fryling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295084390 PECOS PAC ID: 1951538800 Enrollment ID: I20131220001131 |
| Provider Name | Charmeka S Newton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083943203 PECOS PAC ID: 3577791508 Enrollment ID: I20140120000429 |
| Provider Name | Kimberly E Bancroft |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316176621 PECOS PAC ID: 4880824580 Enrollment ID: I20140225000999 |
| Provider Name | Rebecca Low Marchand |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306152772 PECOS PAC ID: 6608008388 Enrollment ID: I20140411000138 |
| Provider Name | Courtney A Clark Dunnill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225274020 PECOS PAC ID: 9830321330 Enrollment ID: I20140416000912 |
| Provider Name | Gregory V Mallis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780022194 PECOS PAC ID: 4789816299 Enrollment ID: I20140416001116 |
| Provider Name | Mark C Eastburg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780610634 PECOS PAC ID: 6204738750 Enrollment ID: I20140423000430 |
| Provider Name | Sherry Steenwyk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093855025 PECOS PAC ID: 7911130620 Enrollment ID: I20140505001078 |
| Provider Name | Mary C Hui Wee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659585644 PECOS PAC ID: 0840417184 Enrollment ID: I20140811002238 |
| Provider Name | Jordan C Engelhard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508119892 PECOS PAC ID: 1355568304 Enrollment ID: I20140814001585 |
| Provider Name | Nicole H Wyngarden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265795934 PECOS PAC ID: 9032338314 Enrollment ID: I20140918001306 |
| Provider Name | Christopher Baker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952700403 PECOS PAC ID: 7517187040 Enrollment ID: I20141006001508 |
| Provider Name | Abbie J Vanderwege |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811296163 PECOS PAC ID: 3870805575 Enrollment ID: I20150709001159 |
| Provider Name | Kimberley A Kunze |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457639957 PECOS PAC ID: 7911215462 Enrollment ID: I20151001002738 |
| Provider Name | Krissa E Kirby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386639870 PECOS PAC ID: 1153303326 Enrollment ID: I20160629001848 |
| Provider Name | Roger L Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669829230 PECOS PAC ID: 7911299540 Enrollment ID: I20160630000275 |
| Provider Name | Emile C Mulder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396194908 PECOS PAC ID: 2163717612 Enrollment ID: I20160823000381 |
| Provider Name | Abraham J Bilyeu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316350853 PECOS PAC ID: 7315264033 Enrollment ID: I20160901001238 |
| Provider Name | Lisa N Vroman Stokes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811370570 PECOS PAC ID: 4789971946 Enrollment ID: I20161003001427 |
| Provider Name | Maria G Gruppen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265860258 PECOS PAC ID: 8325312747 Enrollment ID: I20170925001344 |
| Provider Name | Treg A Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871963611 PECOS PAC ID: 3678831708 Enrollment ID: I20171219003139 |
| Provider Name | Mark Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720501539 PECOS PAC ID: 0749542660 Enrollment ID: I20180313000062 |
| Provider Name | Justin D Sides |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104276690 PECOS PAC ID: 4688927569 Enrollment ID: I20181023000503 |
| Provider Name | Lisa L Schirmer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619010766 PECOS PAC ID: 3779836382 Enrollment ID: I20181029003092 |
| Provider Name | Emily Standish |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376084343 PECOS PAC ID: 8820342843 Enrollment ID: I20181109002578 |
| Provider Name | Casilda Renee Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700268182 PECOS PAC ID: 8628317096 Enrollment ID: I20190228002954 |
| Provider Name | Jacob B Nienhuis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982193256 PECOS PAC ID: 6709110679 Enrollment ID: I20190626002174 |
| Provider Name | Lisa J Mull |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043332349 PECOS PAC ID: 2668872441 Enrollment ID: I20210616000519 |
| Provider Name | Jordan Daniel Stricklen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639615321 PECOS PAC ID: 6709288418 Enrollment ID: I20210716001040 |
| Provider Name | Shannon L Drabek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023673688 PECOS PAC ID: 2567867435 Enrollment ID: I20210817000246 |
| Provider Name | Joshua P Matlack |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063067304 PECOS PAC ID: 9830588102 Enrollment ID: I20211109000597 |
| Provider Name | Kelsey B Woolner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992163281 PECOS PAC ID: 8527435502 Enrollment ID: I20221103002031 |
| Provider Name | Andrea C Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205171790 PECOS PAC ID: 3476928094 Enrollment ID: I20230413001827 |
| Provider Name | Shreya Doshi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861066003 PECOS PAC ID: 6204290653 Enrollment ID: I20230918003999 |
| Provider Name | Taylor N Mcmillen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790224392 PECOS PAC ID: 1355795485 Enrollment ID: I20230923000242 |
| Provider Name | Luke A Vander Wal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467075176 PECOS PAC ID: 1951757525 Enrollment ID: I20231102001863 |
| Provider Name | Hillary Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811564933 PECOS PAC ID: 4082061270 Enrollment ID: I20231109001352 |
| Provider Name | Jon Youngs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265878581 PECOS PAC ID: 6901254515 Enrollment ID: I20231120003519 |
| Provider Name | Belen Marie Kintner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346435286 PECOS PAC ID: 0941658264 Enrollment ID: I20231128000968 |
| Provider Name | Morgan Nicholas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326530155 PECOS PAC ID: 5799115531 Enrollment ID: I20231129002525 |
| Provider Name | Melissa Portia Fuller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023668076 PECOS PAC ID: 3173972684 Enrollment ID: I20231208003338 |
| Provider Name | Ann Kathryn Modzeleski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457504847 PECOS PAC ID: 1850741760 Enrollment ID: I20231219000625 |
| Provider Name | Traci Lynn Cekander |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275742116 PECOS PAC ID: 2062862980 Enrollment ID: I20231219000833 |
| Provider Name | Jonathan Graham Bjork |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154576478 PECOS PAC ID: 5991155772 Enrollment ID: I20231219003345 |
| Provider Name | Emily Oosterhouse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992144075 PECOS PAC ID: 4981054277 Enrollment ID: I20231228003297 |
| Provider Name | Lisa M Youngman-loose |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629437918 PECOS PAC ID: 5890145874 Enrollment ID: I20240103002930 |
| Provider Name | Amanda Ludlow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134761968 PECOS PAC ID: 7416307400 Enrollment ID: I20240103003007 |
| Provider Name | Maria Louise Dykstra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952701567 PECOS PAC ID: 3072964063 Enrollment ID: I20240103003342 |
| Provider Name | Jessica Danielle Hoffmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184238347 PECOS PAC ID: 5991156994 Enrollment ID: I20240103003624 |
| Provider Name | Nancy L Curtis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205935228 PECOS PAC ID: 3870944879 Enrollment ID: I20240103003725 |
| Provider Name | Jeffrey Sieg Michaelis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891900965 PECOS PAC ID: 9739530742 Enrollment ID: I20240103003923 |
| Provider Name | Melanie Conley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427462563 PECOS PAC ID: 2264883271 Enrollment ID: I20240103004024 |
| Provider Name | Susan Diane Vanallsburg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255522678 PECOS PAC ID: 8325499338 Enrollment ID: I20240103004117 |
| Provider Name | Darren J Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386837326 PECOS PAC ID: 5395196307 Enrollment ID: I20240103004251 |
| Provider Name | Justynn P Mayo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346739885 PECOS PAC ID: 4082065024 Enrollment ID: I20240104000251 |
| Provider Name | Tonya Sue Mckerchie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518524735 PECOS PAC ID: 8729439773 Enrollment ID: I20240104000541 |
| Provider Name | Christina Anthony |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043683147 PECOS PAC ID: 2466803424 Enrollment ID: I20240104000848 |
| Provider Name | Alicia L Mcandrews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396172425 PECOS PAC ID: 3375994338 Enrollment ID: I20240104000863 |
| Provider Name | Karen Jean Alkema |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538768643 PECOS PAC ID: 3577914555 Enrollment ID: I20240104001612 |
| Provider Name | Amanda Shaneberger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154476398 PECOS PAC ID: 3971954876 Enrollment ID: I20240104002645 |
| Provider Name | Alison Preisel-austhof |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992210678 PECOS PAC ID: 2769833672 Enrollment ID: I20240104003115 |
| Provider Name | Nicholas Scott Brennfoerder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629473939 PECOS PAC ID: 8426409350 Enrollment ID: I20240104003848 |
| Provider Name | Shanita Theil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255732921 PECOS PAC ID: 8921459868 Enrollment ID: I20240104004125 |
| Provider Name | Rebecca Lyn Stieg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639438583 PECOS PAC ID: 8628429578 Enrollment ID: I20240104004597 |
| Provider Name | Judith M Turnbull |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609925502 PECOS PAC ID: 3476904343 Enrollment ID: I20240105000369 |
| Provider Name | Eric D Michaelis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891828612 PECOS PAC ID: 1759732563 Enrollment ID: I20240105001903 |
| Provider Name | Shanna L. Colpetzer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386071496 PECOS PAC ID: 2264814813 Enrollment ID: I20240108000565 |
| Provider Name | Diana L Hoover |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972710218 PECOS PAC ID: 8729439286 Enrollment ID: I20240109002007 |
| Provider Name | Sarah Krussell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740613926 PECOS PAC ID: 5698126167 Enrollment ID: I20240109002550 |
| Provider Name | Kristy Lee Weersing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326522293 PECOS PAC ID: 5395196539 Enrollment ID: I20240111003529 |
| Provider Name | Shawna M Tanner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457980476 PECOS PAC ID: 9436501293 Enrollment ID: I20240117001308 |
| Provider Name | Paul Timothy Samuelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134442502 PECOS PAC ID: 3971955733 Enrollment ID: I20240117001357 |
| Provider Name | Lindsey Elizabeth Rosa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174160592 PECOS PAC ID: 3779935549 Enrollment ID: I20240117001785 |
| Provider Name | Amy Elizabeth Britcher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750917910 PECOS PAC ID: 2466804232 Enrollment ID: I20240117001905 |
| Provider Name | Scott A Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194753079 PECOS PAC ID: 9133556038 Enrollment ID: I20240117002293 |
| Provider Name | Rachel Mantle-douglas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477827152 PECOS PAC ID: 9032561832 Enrollment ID: I20240117002827 |
| Provider Name | Kaitlin Hatchew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841888401 PECOS PAC ID: 6901258748 Enrollment ID: I20240117004135 |
| Provider Name | Amy C Rush |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740734060 PECOS PAC ID: 6204288962 Enrollment ID: I20240118000274 |
| Provider Name | Hannah E Rice |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598055535 PECOS PAC ID: 3870945587 Enrollment ID: I20240118001985 |
| Provider Name | Amy Lynn Piscopink Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073934295 PECOS PAC ID: 9032561659 Enrollment ID: I20240119000974 |
| Provider Name | Melissa L Quist |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730657339 PECOS PAC ID: 1951753466 Enrollment ID: I20240120000268 |
| Provider Name | Allison Christine Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053683292 PECOS PAC ID: 0941652457 Enrollment ID: I20240120000300 |
| Provider Name | Bridget Delaney Maher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922127190 PECOS PAC ID: 9931551447 Enrollment ID: I20240120000336 |
| Provider Name | Darin Youngs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346842465 PECOS PAC ID: 0749632255 Enrollment ID: I20240120000375 |
| Provider Name | Lindsay Porritt Peirce Poziwilko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134868763 PECOS PAC ID: 2567815707 Enrollment ID: I20240124002420 |
| Provider Name | Katie Rose Acker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568875276 PECOS PAC ID: 5890148050 Enrollment ID: I20240124003341 |
| Provider Name | Anita J Banks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336548122 PECOS PAC ID: 7416300686 Enrollment ID: I20240124003439 |
| Provider Name | Jessica Lynn Mangan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720149685 PECOS PAC ID: 9335592518 Enrollment ID: I20240124003699 |
| Provider Name | Steven Crawley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437603750 PECOS PAC ID: 1153774245 Enrollment ID: I20240124004484 |
| Provider Name | Melissa Eccher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811520042 PECOS PAC ID: 3072966191 Enrollment ID: I20240125000610 |
| Provider Name | Jessica R Fasburg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356012249 PECOS PAC ID: 0446603443 Enrollment ID: I20240125003611 |
| Provider Name | Kelsey Gleason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740811165 PECOS PAC ID: 6002269941 Enrollment ID: I20240127000222 |
| Provider Name | Dante Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114367620 PECOS PAC ID: 7810340759 Enrollment ID: I20240127000223 |
| Provider Name | Sandra Kay Larson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760033658 PECOS PAC ID: 1850744707 Enrollment ID: I20240127000497 |
| Provider Name | Cindy S Urban |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275171837 PECOS PAC ID: 4789037383 Enrollment ID: I20240131000740 |
| Provider Name | Cherina Dawn Johnson Staples |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427388214 PECOS PAC ID: 8921451279 Enrollment ID: I20240202000519 |
| Provider Name | Angela M Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023070232 PECOS PAC ID: 8123471489 Enrollment ID: I20240202000834 |
| Provider Name | Kathryn S Goerner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316499338 PECOS PAC ID: 2961845201 Enrollment ID: I20240203000472 |
| Provider Name | Peter Olthoff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063954071 PECOS PAC ID: 5597108837 Enrollment ID: I20240203000515 |
| Provider Name | Michelle Margaret Markiewicz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174875710 PECOS PAC ID: 3476999038 Enrollment ID: I20240306002051 |
| Provider Name | Mark Recker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023586575 PECOS PAC ID: 8729425475 Enrollment ID: I20240318002363 |
| Provider Name | Susanna M Start |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386999381 PECOS PAC ID: 0244678928 Enrollment ID: I20240401000257 |
| Provider Name | Jennifer Ann Bathrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386399574 PECOS PAC ID: 4587003397 Enrollment ID: I20240412002206 |
Reclaim Life Therapy Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 800 Monroe Ave Nw, Ste 300, Grand Rapids, MI 49503 Phone: 616-309-0107 Fax: 616-825-6185 | |
Bridges Counseling Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3280 E Beltline Ct Ne, Grand Rapids, MI 49525 Phone: 616-447-3404 | |
Tru Behavior Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 Joslin St Se, Grand Rapids, MI 49507 Phone: 616-287-0740 | |
Hra Psychological Services Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2851 Charlevoix Dr Se Ste 323, Grand Rapids, MI 49546 Phone: 616-458-0692 Fax: 616-458-8129 | |
Perennial Health Services Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 E Fulton St, Suite 114, Grand Rapids, MI 49503 Phone: 616-633-7203 Fax: 616-427-3023 | |
Heart Of The City Health Center West Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Sheldon Blvd Se, Grand Rapids, MI 49503 Phone: 616-965-8282 Fax: 616-940-5366 | |
Thriveworks Counseling Grand Rapids Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4079 Park East Ct Se, Suite C, Grand Rapids, MI 49546 Phone: 269-823-4873 |