KELLIE JOHANSEN LCMHC
NPI 1427694934
Counselor - Mental Health in Manchester, NH

Active since November 19, 2019PECOS EnrolledAccepts Medicare Assignment
835 HANOVER ST STE 305, MANCHESTER, NH 03104(603) 770-6783 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2025, Nov 19, 2019 (2 updates tracked since 2019).

About Kellie Johansen Lcmhc NPPES

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

KELLIE JOHANSEN LCMHC (NPI 1427694934) is an individual mental health provider in Manchester, New Hampshire, licensed in New Hampshire (4916) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1427694934
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLIE JOHANSENCredential: LCMHC
Location Address835 HANOVER ST STE 305Manchester, NH 03104-5401
Mailing AddressPo Box 292Exeter, NH 03833-0292 · (603) 770-6783
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 19, 2019
Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
NPI 1427694934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NH · 4916
Also ListedCounselorTaxonomy 101Y00000X
835 HANOVER ST STE 305, Manchester, NH 03104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kellie Johansen Lcmhc 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 ID1456874684
PECOS Enrollment IDI20250328001802
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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
835 HANOVER ST STE 305
MANCHESTER, NH 03104
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
835 HANOVER ST STE 305
MANCHESTER, NH 03104
Nurse Practitioner (Psychiatric/Mental Health)
835 HANOVER ST STE 305
MANCHESTER, NH 03104
Nurse Practitioner (Psychiatric/Mental Health)
835 HANOVER ST STE 305
MANCHESTER, NH 03104
Social Worker (Clinical)
835 HANOVER ST STE 305
MANCHESTER, NH 03104
Social Worker (Clinical)
835 HANOVER ST STE 305
MANCHESTER, NH 03104
Social Worker (Clinical)
835 HANOVER ST STE 305
MANCHESTER, NH 03104

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 Kellie Johansen's NPI number?

The NPI number for Kellie Johansen is 1427694934. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Where is Kellie Johansen located?

Kellie Johansen practices at 835 Hanover St Ste 305, Manchester, NH 03104. The listed phone number is (603) 770-6783.

What is Kellie Johansen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kellie Johansen enrolled in Medicare?

Yes. Kellie Johansen 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.

What insurance does Kellie Johansen accept?

Health plans from Ambetter from NH Healthy Families, Harvard Pilgrim Health Care, Providence Health Plan and WellSense Health Plan list Kellie Johansen 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 Kellie Johansen was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.