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JENNIFER ANDREA KELLEY
NPI 1902380645
Counselor - Mental Health in Portsmouth, NH

Active since September 19, 2018Opted out of Medicare · through Mar 6, 2028
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801(603) 431-6703(603) 430-3753 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Andrea Kelley NPPES

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

JENNIFER ANDREA KELLEY (NPI 1902380645) is an individual mental health provider in Portsmouth, New Hampshire and active in the NPI registry since September 2018. She has opted out of Medicare through March 6, 2028.

NPPES Registry Identity

NPI1902380645
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER ANDREA KELLEY
Location Address1145 SAGAMORE AVEPortsmouth, NH 03801-5585
Mailing Address1145 Sagamore AvePortsmouth, NH 03801-5585 · (603) 431-6703 · Fax (603) 430-3753
Phone(603) 431-6703
Fax(603) 430-3753
Sole ProprietorNo
Enumeration DateSeptember 19, 2018
✔ NPI 1902380645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1145 SAGAMORE AVE, Portsmouth, NH 03801
Open in Google Maps ↗

Other Identifiers 1

Medicaid3078870NH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer Andrea Kelley has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 6, 2024 through March 6, 2028.

Opt-Out Effective DateMarch 6, 2024
Opt-Out In Effect ThroughMarch 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

HEATH GRAY
Counselor (Mental Health)
1145 SAGAMORE AVE
PORTSMOUTH, NH 03801
Rockingham County (603) 431-6703
MR. PHILIP GIBSON
Social Worker (Clinical)
1145 SAGAMORE AVE
PORTSMOUTH, NH 03801
Rockingham County (603) 431-6703
RACHEL GARDNER
Counselor
1145 SAGAMORE AVE
PORTSMOUTH, NH 03801
Rockingham County (603) 431-6703
ABIGAIL GERBINO
Counselor
1145 SAGAMORE AVE
PORTSMOUTH, NH 03801
Rockingham County (603) 431-6703
JULIANA DEFEO
Counselor
1145 SAGAMORE AVE
PORTSMOUTH, NH 03801
Rockingham County (603) 431-6703
SEACOAST MENTAL HEALTH CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
1145 SAGAMORE AVE
PORTSMOUTH, NH 03801
Rockingham County (603) 431-6703
KRISTY MICHAUD
Case Manager/Care Coordinator
1145 SAGAMORE AVE
PORTSMOUTH, NH 03801
Rockingham County (603) 431-6703
MARIA BICK LICSW
Social Worker (Clinical)
1145 SAGAMORE AVE
PORTSMOUTH, NH 03801
Rockingham County (603) 431-6703

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 Jennifer Andrea Kelley's NPI number?

The NPI number for Jennifer Andrea Kelley is 1902380645. It was assigned to this individual provider in the NPPES registry on September 19, 2018.

Where is Jennifer Andrea Kelley located?

Jennifer Andrea Kelley practices at 1145 Sagamore Ave, Portsmouth, NH 03801. The listed phone number is (603) 431-6703.

What is Jennifer Andrea Kelley's specialty?

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

Is Jennifer Andrea Kelley enrolled in Medicare?

No. Jennifer Andrea Kelley has opted out of Medicare through March 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Andrea Kelley was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.