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DR. KIMBERLY ELAM SALLIS PHD; LPC-S, BC-TMH
NPI 1003587486
Counselor - Professional in Oxford, MS

Active since September 24, 2021
507 HERITAGE DR STE 102, OXFORD, MS 38655(662) 816-0968 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kimberly Elam Sallis Phd; Lpc-s, Bc-tmh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIMBERLY ELAM SALLIS PHD; LPC-S, BC-TMH (NPI 1003587486) is an individual professional provider in Oxford, Mississippi, licensed in Mississippi (0933) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1003587486
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. KIMBERLY ELAM SALLISCredential: PHD; LPC-S, BC-TMH
Location Address507 HERITAGE DR STE 102Oxford, MS 38655-5571
Mailing Address558 County Road 102Oxford, MS 38655-8610 · (662) 816-0968
Phone(662) 816-0968
Sole ProprietorYes
Enumeration DateSeptember 24, 2021
NPPES CertifiedSeptember 24, 2021
✔ NPI 1003587486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · 0933
507 HERITAGE DR STE 102, Oxford, MS 38655
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JANNA COLEMAN M.ED., LPC-S, NCC
Counselor (Professional)
507 HERITAGE DR STE 102
OXFORD, MS 38655
Lafayette County (662) 481-2725
CHARLES PATRICK WARD P-LPC
Counselor (Mental Health)
507 HERITAGE DR STE 102
OXFORD, MS 38655
Lafayette County (662) 709-7714
NICOLE LYNN YENTER LPC
Counselor (Professional)
507 HERITAGE DR STE 102
OXFORD, MS 38655
Lafayette County (662) 235-1836
DR. MAEGAN LEIGH JOHNSTON TATUM PH.D., LPC-S, NCC
Counselor (Professional)
507 HERITAGE DR STE 102
OXFORD, MS 38655
Lafayette County (662) 506-2059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Sallis's NPI number?

The NPI number for Kimberly Sallis is 1003587486. It was assigned to this individual provider in the NPPES registry on September 24, 2021.

Where is Kimberly Sallis located?

Kimberly Sallis practices at 507 Heritage Dr Ste 102, Oxford, MS 38655. The listed phone number is (662) 816-0968.

What is Kimberly Sallis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kimberly Sallis was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.