MKM Holdings, Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MKM HOLDINGS, INC

Doing business as

Ellie Mental Health

Practice address

501 Islington St Ste 2D
Portsmouth, NH 03801-5346

Phone

(760) 799-9719

NPI assigned

Jul 5, 2023

Last updated

Jul 5, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Gass

Title

Owner

Phone

(760) 799-9719

Specialties & licenses 1

Addresses

Other names 1

• ELLIE MENTAL HEALTH Doing business as

Medicare fee-for-service enrollment

Enrolled in NH, MA2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaitlyn Nicole Davis, M.ED., LCMHC

  • Mental Health Counselor
  • Portsmouth, NH
  • NPI 1528512159

  MA

  Medicare reassignment Care Compare group NPD
• Dawna Marie Jones, MS, LCMHC, MLADC

  • Mental Health Counselor
  • Portsmouth, NH
  • NPI 1649548124

  MA

  Medicare reassignment Care Compare group NPD
• Molly Partridge, BS

  • Social Worker
  • Portsmouth, NH
  • NPI 1578043519
  Medicare reassignment Care Compare group NPD
• Lucia Helen Savage-Reeder, LCMHC, LADC

  • Mental Health Counselor
  • Concord, NH
  • NPI 1447490362
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1124706791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ISLINGTON ST STE 2D",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015346",
            "telephone_number": "760-799-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ISLINGTON ST STE 2D",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015346",
            "telephone_number": "760-799-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKM HOLDINGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "GASS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-799-9719"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELLIE MENTAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Ray Minotti, MS, LMFT
• Mitchell Manin MD PC
• Cynthia Mitchell, OTR
• Tiffany Mitevski, MS
• Scott David Mithoefer, PA-C
• Katharine Modern
• Shreyas Jayprakash Modi, DO
• Donna Mohan, ARNP
• Taylor Moll
• Valerie Moll

• Marriage & Family Therapist in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Marriage & Family Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.