LISA LAMANCUSA MA, LLP (NPI# 1124516000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124516000 |
| Entity Type | Organization |
| Organization Name | LISA LAMANCUSA MA, LLP |
| Practice Address |
4829 E Beltline Ave Ne Ste 100 Grand Rapids MI 49525-9349 |
| Practice Telephone | 6163643301 |
| Mailing Telephone | 6163643301 |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |
| Authorized Official Name | LISA LAMANCUSA (BUSINESS OWNER) |
| Authorized Official Telephone | 6163643301 |
| Authorized Official Credential | LIMITED LICENSED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
6301012462 | MI | Behavioral Health & Social Service Providers |
| Street Address |
4829 E BELTLINE AVE NE STE 100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-9349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| 1760943278 | Kj Counseling LLC | Clinic/Center | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525-9349 | 2019-03-27 |
| 1134686140 | Julie Alicki Counseling Services | Clinic/Center | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525-9349 | 2019-02-26 |
| 1932699337 | Laura Hockenberry Gardner | Counselor | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525-9349 | 2018-05-11 |
| 1194215558 | Raymond Herzog Ma LLP | Psychologist | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525-9349 | 2018-05-11 |
| 1508354465 | Melissa R Tower | Psychologist | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525-9349 | 2018-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1114467966 | Sara Mitchell | Counselor | 4700 E Beltine Ave, Grand Rapids, MI 49525 | 2017-02-27 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609416197 | Alexander Sydney Houseknecht | Psychologist | 337 Visser Pl Se, Grand Rapids, MI 49506-1541 | 2020-01-13 |
| 1730745852 | Kls Counseling LLC | Psychologist | 688 Cascade West Pkwy Se, Grand Rapids, MI 49546-2171 | 2019-05-14 |
| 1609347285 | Luwillis Gibson | Psychologist | 1014 Dunham St Se, Grand Rapids, MI 49506-2659 | 2018-12-07 |
| 1598257966 | Austin Knight | Psychologist | 1010 Watson St Sw, Grand Rapids, MI 49504-6148 | 2018-06-01 |
| 1609203694 | Lynn Jackson | Psychologist | 456 Plymouth Ave Ne Ste B, Grand Rapids, MI 49505 | 2013-10-04 |
| 1184996969 | Joseph Edward Budnick | Psychologist | 1150 Brownwood Ave Nw, Grand Rapids, MI 49504-3653 | 2012-02-08 |
| 1265660963 | Gary Michael Cole | Psychologist | 1115 Ball Ave Ne Bldg C, Grand Rapids, MI 49505-5904 | 2009-07-01 |
| 1073763710 | Kylene Lynn Schipper | Psychologist | 3300 36th St, Grand Rapids, MI 49518-0007 | 2008-09-30 |
| 1295986933 | Jeffrey Alan Bootzin | Psychologist | 330 Eastern Ave Se, Grand Rapids, MI 49503-4737 | 2008-09-30 |
| 1770730434 | Kurt Thomas Ellis | Psychologist | 4920 Plainfield Ave Ne, Suite C, Grand Rapids, MI 49525-1010 | 2008-08-25 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on LISA LAMANCUSA MA, LLP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.