OrganizationActive
Lisa Lamancusa Ma, LLP
NPI 1124516000 · Counseling Psychologist · Grand Rapids, MI
Provider details
- NPI number
- 1124516000
- Entity type
- Organization
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Lamancusa, Business Owner(616) 364-3301
- License
- 6301012462 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4829 E Beltline Ave Ne Ste 100
Grand Rapids, MI 49525-9349
Phone: (616) 364-3301
Street-level locationGet directions
Mailing address
4829 E Beltline Ave Ne Ste 100
Grand Rapids, MI 49525-9349
Registry dates
- Enumerated
- 2018-04-26
- Last updated
- 2018-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.