Mrs Jessica Lynn Mangan, MA, LPC, LLP is a
Counselor based in Grand Rapids, Michigan. Mrs Jessica Lynn Mangan is licensed to practice in Michigan (license number 6401009818) and her current practice location is
300 68th St Se, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 455-5270.
NPI number for Mrs Jessica Lynn Mangan is 1720149685 and her current mailing address is 12895 Woodgrove Dr, South Lyon, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720149685.
Healthcare Provider's Profile
Full Name | Mrs Jessica Lynn Mangan |
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Gender | Female |
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Speciality | Counselor |
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Location | 300 68th St Se, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720149685
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 09/24/2024
Medical Identifiers
Medical identifiers for Mrs Jessica Lynn Mangan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720149685 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 6361000886 (Michigan) | Secondary |
101YP2500X | Counselor - Professional | 6401009818 (Michigan) | Secondary |
101Y00000X | Counselor | 6401009818 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jessica Lynn Mangan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jessica Lynn Mangan, MA, LPC, LLP 12895 Woodgrove Dr, South Lyon, MI 48178-8872 Ph: (269) 598-8780 | Mrs Jessica Lynn Mangan, MA, LPC, LLP 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5270 |
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