MRS. JESSICA LYNN MANGAN MA, LPC, LLP
NPI 1720149685
Counselor in Grand Rapids, MI

Q: What is Jessica Mangan's NPI number?

The NPI number for Jessica Mangan is 1720149685. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Q: What is Jessica Mangan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Mangan was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since December 13, 2006

300 68TH ST SE, GRAND RAPIDS, MI 49548(616) 455-5270(616) 455-5460 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2024, May 27, 2020, May 11, 2020 and 1 more (4 updates tracked since 2020).

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About Mrs. Jessica Lynn Mangan Ma, Lpc, Llp NPPES

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

MRS. JESSICA LYNN MANGAN MA, LPC, LLP (NPI 1720149685) is an individual counselor in Grand Rapids, Michigan, licensed in Michigan (6401009818) and active in the NPI registry since December 2006. She maintains a secondary practice location in South Lyon.

NPPES Registry Identity

NPI1720149685

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. JESSICA LYNN MANGANCredential: MA, LPC, LLP

Location Address300 68TH ST SEGrand Rapids, MI 49548-6927

Mailing Address12895 Woodgrove DrSouth Lyon, MI 48178-8872 · (269) 598-8780

Phone(616) 455-5270

Fax(616) 455-5460

Sole ProprietorYes

Enumeration DateDecember 13, 2006

Last NPPES UpdateSeptember 24, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2024

✔ NPI 1720149685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MI · 6401009818

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6401009818 (MI)

Also ListedPsychologistTaxonomy 103T00000X · License 6361000886 (MI)

300 68TH ST SE, Grand Rapids, MI 49548

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Secondary Practice Location 1

Location 112895 Woodgrove DrSouth Lyon, MI 48178-8872 · Phone (269) 598-8780

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 ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILLIAN LEIGH MURRAY L.C.S.W

Social Worker (Clinical)