Wanda Kellyman, MS, NCC, LCMHC
NPI 1114519451 · Mental Health Counselor · Winston Salem, NC
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wanda Kellyman, MS, NCC, LCMHC is a Mental Health Counselor provider in Winston Salem, NC (NPI 1114519451).
Provider details
- NPI number
- 1114519451
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MS, NCC, LCMHC
- Sex
- Female
- Sole proprietor
- No
- License
- 15671 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2021-02-08
- Last updated
- 2023-06-15
- Certified
- 2023-06-15
Frequently asked questions
- What is Wanda Kellyman's NPI number?
- Wanda Kellyman's National Provider Identifier (NPI) is 1114519451, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wanda Kellyman's specialty?
- Wanda Kellyman is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Wanda Kellyman located?
- Wanda Kellyman's practice location on file with NPPES is 313 Water Lily Cir, Winston Salem, NC 27107-6048.
- What is Wanda Kellyman's phone number?
- The practice phone number listed in the NPPES registry for Wanda Kellyman is (336) 686-7385.
- Does Wanda Kellyman accept Medicare?
- Wanda Kellyman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Wanda Kellyman's NPI active?
- Yes — Wanda Kellyman's NPI (1114519451) is active in the NPPES registry as of the last update on 2023-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.