Individual provider Active NPI

Jessica Jean Kenez, MLADC

  • Addiction (Substance Use Disorder) Counselor
  • Manchester, NH
National Provider Identifier
1275755381
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2004 Issued in NH
Practice address
300 Hanover St
Manchester, NH 03104-4957
Phone
(603) 663-4430
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 2004 NH Primary

Addresses

Primary practice location

300 Hanover St
Manchester, NH 03104-4957

Mailing address

300 Hanover St
Manchester, NH 03104-4957
Phone (603) 663-4430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251013001123 NH Practitioner - Mental Health Counselor 7517454796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

300 Hanover St
Manchester, NH 03104-4957
Phone (603) 663-4430

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2004NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Professional Services CurrentSince Sep 22, 2025 Accepting new patients
Elliot Hospital of the City of Manchester PastSince Sep 14, 2025 Accepting new patients

Locations

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1275755381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HANOVER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031044957",
            "telephone_number": "603-663-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HANOVER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031044957",
            "telephone_number": "603-663-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENEZ",
        "first_name": "JESSICA",
        "middle_name": "JEAN",
        "credential": "MLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "2004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.