IndividualActive
Kimberly Wollgren O'Neill, LPC
NPI 1083801724 · Mental Health Counselor · Winston Salem, NC
Provider details
- NPI number
- 1083801724
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6701 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(98/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
1350 Whitaker Ridge Dr
Winston Salem, NC 27106-4966
Phone: (336) 718-8000
Fax: (336) 718-8011
Approximate (ZIP-level) locationGet directions
Mailing address
2106 Ardsley St.
Winston Salem, NC 27103
Additional practice locations (2)
- 213 Lindsay StHigh Point, NC 27262-4868Phone: (336) 885-0602
- 175 Kimel Park Dr Ste 100Winston Salem, NC 27103-6951Phone: (336) 718-3550
Registry dates
- Enumerated
- 2007-09-26
- Last updated
- 2023-10-05
- Certified
- 2023-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.