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LISA WATSON MA, LPC
NPI 1962826958
Counselor - Professional in Grand Rapids, MI

Active since February 11, 2014PECOS EnrolledAccepts Medicare Assignment
3300 36TH ST SE, GRAND RAPIDS, MI 49512(616) 942-7294(616) 942-9548 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2020, Jul 31, 2019, Jul 18, 2019 (3 updates tracked since 2019).

About Lisa Watson Ma, Lpc NPPES

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

LISA WATSON MA, LPC (NPI 1962826958) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401014066) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1962826958
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISA WATSONCredential: MA, LPC
Location Address3300 36TH ST SEGrand Rapids, MI 49512-2810
Mailing Address3300 36th St SeGrand Rapids, MI 49512-2810 · (616) 942-7294 · Fax (616) 942-9548
Phone(616) 942-7294
Fax(616) 942-9548
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 11, 2014
Last NPPES UpdateMarch 11, 20203 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
✔ NPI 1962826958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401014066
3300 36TH ST SE, Grand Rapids, MI 49512
Open in Google Maps ↗

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Watson Ma, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557808086
PECOS Enrollment IDI20240801004004
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Watson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Counseling Center Of West Michigan, LLC
5.0 mi
Mental Health
360 E BELTLINE AVE NE STE 100
Grand Rapids, MI 49506
  • Reassigned Medicare billing, Michigan enrollment
  • 287 clinicians in this Medicare group
NPI 1437610730 (616) 805-3660
Kent County Cmh Authority
6.2 mi
Community/Behavioral Health
790 FULLER AVE NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 164 clinicians in this Medicare group
NPI 1396404588 (616) 336-3909

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. KATHERINE E. KUNNEN DNP, FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MEGAN ELINOR JOHNSON BCBA
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2810
TAYLOR ALVESTEFFER LLMSW
Social Worker (Clinical)
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MALINNA I MACK
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
ALEIGHA DROUGHN
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MATTHEW JOHN MANNIKKO
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
CLARISSA LEE GREER
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MARGARET GRACE GILLICH
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Watson's NPI number?

The NPI number for Lisa Watson is 1962826958. It was assigned to this individual provider in the NPPES registry on February 11, 2014.

Where is Lisa Watson located?

Lisa Watson practices at 3300 36th St SE, Grand Rapids, MI 49512. The listed phone number is (616) 942-7294.

What is Lisa Watson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lisa Watson enrolled in Medicare?

Yes. Lisa Watson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lisa Watson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Watson reassigns Medicare benefits to 2 organizations: Counseling Center Of West Michigan, LLC (Grand Rapids, MI) and Kent County Cmh Authority (Grand Rapids, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Watson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Watson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Lisa Watson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Watson was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.