Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jessica Lynn Mangan, MA, LPC, LLP

Individual provider Psychologist · NPI 1720149685

Mrs. Jessica Lynn Mangan, MA, LPC, LLP is a Psychologist in Grand Rapids, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

300 68th St SE
Grand Rapids, MI 49548-6927
Phone: (616) 455-5270
Fax: (616) 455-5460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12895 Woodgrove Dr, South Lyon, MI 48178-8872 — (269) 598-8780

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 6401009818 (MI)
Psychologist Taxonomy 103T00000X · Licence 6361000886 (MI)
Professional Counselor Taxonomy 101YP2500X · Licence 6401009818 (MI)

Record details

NPI number1720149685
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC , LLP
Sole proprietorYes
NPI enumeratedDecember 13, 2006
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

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