Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kellie Johansen, LCMHC

Individual provider Counselor · NPI 1427694934

Kellie Johansen, LCMHC is a Mental Health Counselor in Manchester, New Hampshire. Qualified in 2021, 5 years ago. Practices with Optimal Behavioral Health Services LLC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Hampshire.

Years since qualifying
5
Licensed in
NH
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

835 Hanover St Ste 305
Manchester, NH 03104-5401
Phone: (603) 770-6783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 4916 (NH)
Counselor Taxonomy 101Y00000X

Record details

NPI number1427694934
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorNo
NPI enumeratedNovember 19, 2019
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Optimal Behavioral Health Services Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Manchester