MS. AMBER SMOOT KELLEY LPC
NPI 1144364712
Counselor - Mental Health in Winston Salem, NC

Active since February 16, 2007PECOS Enrolled
140 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103(336) 718-7250 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 27, 2026, May 14, 2026 (2 updates tracked since 2026).

About Ms. Amber Smoot Kelley Lpc NPPES

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

MS. AMBER SMOOT KELLEY LPC (NPI 1144364712) is an individual mental health provider in Winston Salem, North Carolina, licensed in North Carolina (S3134) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in High Point, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1144364712
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. AMBER SMOOT KELLEYCredential: LPC
Location Address140 KIMEL PARK DR STE 200Winston Salem, NC 27103-6185
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 718-7250
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateFebruary 16, 2007
Last NPPES UpdateMay 27, 20262 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1144364712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · S3134
140 KIMEL PARK DR STE 200, Winston Salem, NC 27103

Secondary Practice Location 1

Location 11313 Hempshire Ct.High Point, NC 27262-7313 · Phone (336) 687-3899 · Fax (336) 887-7353

Other Identifiers 3

Other86362NC · Medcast Private Insurance
Other11937NC · Bcbs Private Insurance
Medicaid6102017NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Amber Smoot Kelley Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072087931
PECOS Enrollment IDI20260701001437
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Amber Kelley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
140 KIMEL PARK DR STE 100
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,202 clinicians in this Medicare group
Psychiatry
140 KIMEL PARK DR STE 200
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

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

Counselor (Mental Health)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Social Worker (Clinical)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Social Worker (Clinical)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Social Worker (Clinical)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Psychiatry & Neurology (Psychiatry)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Psychiatry & Neurology (Psychiatry)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Psychologist
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Psychiatry & Neurology (Psychiatry)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103

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 Amber Kelley's NPI number?

The NPI number for Amber Kelley is 1144364712. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Amber Kelley located?

Amber Kelley practices at 140 Kimel Park Dr Ste 200, Winston Salem, NC 27103. The listed phone number is (336) 718-7250.

What is Amber Kelley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Amber Kelley enrolled in Medicare?

Yes. Amber Kelley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amber Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Kelley reassigns Medicare benefits to 2 organizations: Forsyth Memorial Hospital, Inc (Winston Salem, NC) and Novant Health Medical Group, LLC (Winston Salem, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amber Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amber Kelley accept?

Health plans from Blue Cross and Blue Shield of NC list Amber Kelley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amber Kelley was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.