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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: August 02, 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 and maintains a secondary practice location in High Point.

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
Phone(336) 718-7250
Sole ProprietorNo
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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Other Providers at the Same Location NPPES 17

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

KEREN HAPPUCH WILLIAMS LCMHC
Counselor (Mental Health)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7250
MS. LINDA FAYE KINLEY LCSW
Social Worker (Clinical)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7250
MISS NOVIA CHANTEL STEVENSON LCSWA, LCASR
Social Worker (Clinical)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7250
NOVANT HEALTH MEDICAL GROUP, LLC
Psychiatry & Neurology (Psychiatry)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (704) 316-7585
DR. ANDREW STEPHEN MOLITORIS DO
Psychiatry & Neurology (Psychiatry)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7250
DR. TIFFINI ANNE SHELDON-MORRIS PSY.D.
Psychologist
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7250
NOVANT MEDICAL GROUP INC
Psychiatry & Neurology (Psychiatry)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (844) 266-8268
AQUANETTA BOYNTON BSW, MSW, LCSWA
Social Worker (Clinical)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7250

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.

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 2 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.