Individual provider Active NPI

Kelly Ann Dolan, M.A.

  • Mental Health Counselor
  • Nashua, NH
National Provider Identifier
1790824811
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
620 Issued in NH
Practice address
76 Northeastern Blvd Ste 28
Nashua, NH 03062-3174
Phone
(603) 787-3144
NPI assigned
Feb 5, 2007
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 620 NH Primary
Mental Health Counselor 101YM0800X 5671 MA

Addresses

Primary practice location

76 Northeastern Blvd Ste 28
Nashua, NH 03062-3174

Mailing address

76 Northeastern Blvd Ste 28
Nashua, NH 03062-3174
Phone (603) 787-3144

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
I20260627000311 NH Practitioner - Mental Health Counselor 7810460193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

395 Main St
Suite 8
Salem, NH 03079-2464
Phone (603) 787-3144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
620NHMDMental Health Counselor
5671MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
First Resilience, LLC Mental Health CurrentSince May 18, 2026 Accepting new patients

Locations

76 Northeastern Blvd
Ste 28
Nashua, NH 03062
Phone (603) 200-4021

395 Main St
Ste 8
Salem, NH 03079

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1790824811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 NORTHEASTERN BLVD STE 28",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623174",
            "telephone_number": "603-787-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 NORTHEASTERN BLVD STE 28",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623174",
            "telephone_number": "603-787-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "620",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.