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

Kelly Andrea Manz

Individual provider Mental Health Counselor · NPI 1043858400

Kelly Andrea Manz is a Mental Health Counselor in North Bend, Oregon. Works from 2 locations. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2019
Specialties on file
3

Practice location Address checks out

1592 Monroe St
North Bend, OR 97459-3657
Phone: (541) 756-2048
Fax: (541) 756-2058
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1201 S Proctor St, Tacoma, WA 98405-2047 — (253) 396-5935

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 201901765RN (OR)
Mental Health Counselor Taxonomy 101YM0800X
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X · Licence 61316286 (WA)

Record details

NPI number1043858400
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 17, 2019
Last updated in NPPESNovember 23, 2025
Certification dateNovember 23, 2025

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