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

Kimberly Ann Merrill, MS, LCMHC

Individual provider Mental Health Counselor · NPI 1639619364

Kimberly Ann Merrill, MS, LCMHC is a Mental Health Counselor in Manchester, New Hampshire. Qualified in 2016, 10 years ago. Practices with Jtsj1 Enterprises LLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Hampshire.

Years since qualifying
10
Licensed in
NH
In the registry since
2017
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

25 Sundial Ave Ste 310W
Manchester, NH 03103-7244
Phone: (603) 634-9471
Fax: (603) 676-2173
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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 2539 (NH)

Record details

NPI number1639619364
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LCMHC
Sole proprietorNo
NPI enumeratedFebruary 28, 2017
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Jtsj1 Enterprises Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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