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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1538434790

Kelly Marie Ryan, MLADC is a Mental Health Counselor in Manchester, New Hampshire. Qualified in 2011, 15 years ago. Practices with Elliot Professional Services, a 424-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Hampshire.

Years since qualifying
15
Licensed in
NH
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

445 Cypress St Ste 8
Manchester, NH 03103-3600
Phone: (603) 668-4079
Fax: (603) 663-8605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 132 Perry St, Trenton, NJ 08618-3968 — (609) 394-8988

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 0989 (NH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1538434790
Entity typeIndividual (Type 1)
GenderFemale
Credentials MLADC
Sole proprietorNo
NPI enumeratedMarch 20, 2012
Last updated in NPPESMay 18, 2020
Certification dateMay 18, 2020

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Elliot Professional Services — 424 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Manchester