IndividualActive
Kimberly Sallis, PHD; LPC-S, BC-TMH
NPI 1003587486 · Professional Counselor · Oxford, MS
Provider details
- NPI number
- 1003587486
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- PHD; LPC-S, BC-TMH
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0933 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
507 Heritage Dr Ste 102
Oxford, MS 38655-5571
Phone: (662) 816-0968
Street-level locationGet directions
Mailing address
558 County Road 102
Oxford, MS 38655-8610
Registry dates
- Enumerated
- 2021-09-24
- Last updated
- 2021-09-24
- Certified
- 2021-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.