KIMBERLY DIANE SMITH-STANLEY LCMHC
NPI 1497455521
Counselor - Mental Health in Winston Salem, NC
NPI Status: Active since March 07, 2023
Contact Information
640 HOLLY AVE
WINSTON SALEM, NC
ZIP 27101
Phone: (336) 725-3999
- Individual
- Female
- Counselor
- Mental Health
- Accepts Insurance
- PECOS Enrolled
About KIMBERLY SMITH-STANLEY
This page provides the complete NPI Profile along with additional information for Kimberly Smith-stanley, a provider established in Winston Salem, North Carolina with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1497455521 assigned on March 2023. The practitioner's primary taxonomy code is 101YM0800X with license number 18490 (NC). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1497455521
- Provider Name
- KIMBERLY DIANE SMITH-STANLEY LCMHC
- Other Name
- KIMBERLY DIANE ROGERS LPC
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 640 HOLLY AVE WINSTON SALEM, NC 27101
- Location Phone
- (336) 725-3999
- Mailing Address
- 1329 MOUNTAIN VIEW CHURCH RD KING, NC 27021
- Mailing Phone
- (512) 803-6055
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-07-2023
- Last Update Date
- 03-07-2023
- Code Navigator
A mental health counselor like Kimberly Smith-stanley provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 18490
- License State
- NC
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 63689 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kimberly Smith-stanley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for KIMBERLY DIANE SMITH-STANLEY LCMHC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 4 | 5 | 5 | 5 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 8 | 5 | 10 | 5 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 8 + 5 + 1 + 0 + 5 + 4 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1497455521 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811947856 | PROF. JOHN PALMER ANDERSON MA.ED Individual | Counselor (Professional) | 640 HOLLY AVE WINSTON-SALEM, NC 27101 (336) 725-3999 |
| 1255352332 | JUNE FOSS Individual | Marriage & Family Therapist | 640 HOLLY AVE WINSTON SALEM, NC 27101 (336) 725-3999 |
| 1386667798 | ANN DIXON COPPAGE Individual | Counselor (Mental Health) | 640 HOLLY AVE WINSTON SALEM, NC 27101 (336) 725-3999 |
| 1285658773 | ADELAIDE PALERMO Individual | Counselor (Mental Health) | 640 HOLLY AVE WINSTON SALEM, NC 27101 (336) 725-3999 |
| 1528072584 | MARY BETH EDENS Individual | Counselor (Mental Health) | 640 HOLLY AVE WINSTON SALEM, NC 27101 (336) 725-3999 |
| 1275547838 | COURTNEY ZAHNER Individual | Counselor | 640 HOLLY AVE WINSTON SALEM, NC 27101 (336) 725-3999 |
| 1801964580 | KELLY HOGAN Individual | Counselor (Mental Health) | 640 HOLLY AVE WINSTON-SALEM, NC 27101 (336) 725-3999 |
| 1407077001 | MRS. KATIE THOMPSON M.A.ED., LPC, NCC Individual | Counselor (School) | 640 HOLLY AVE WINSTON SALEM, NC 27101 (336) 725-3999 |
| 1588866842 | ELIZABETH VAUGHAN Individual | Counselor | 640 HOLLY AVE WINSTON SALEM, NC 27101 (336) 725-3999 |
| 1093987455 | KAREN CRIM LPC Individual | Counselor (Mental Health) | 640 HOLLY AVE WINSTON SALEM, NC 27101 (336) 725-3999 |
| 1710208905 | KAREN JOHN Individual | Counselor | 640 HOLLY AVE WINSTON SALEM, NC 27101 (336) 725-3999 |
| 1205115896 | ELISABETH MARIA HARPER Individual | Counselor | 640 HOLLY AVE WINSTON SALEM, NC 27101 (336) 725-3999 |
| 1013280437 | BARBARA H POTTS PH.D Individual | Counselor (Mental Health) | 640 HOLLY AVE WINSTON SALEM, NC 27101 (336) 725-3999 |
| 1922550334 | DR. REBECCA LYNN FOGLEY PSY.D. Individual | Psychologist (Clinical) | 640 HOLLY AVE WINSTON SALEM, NC 27101 (336) 725-3999 |
| 1053816108 | DR. ERIN BINKLEY PHD Individual | Counselor (Mental Health) | 640 HOLLY AVE WINSTON SALEM, NC 27101 (336) 725-3999 |
| 1013123314 | MRS. AMY KOLB SHUMAN LPC, NBCC Individual | Counselor (Professional) | 640 HOLLY AVE WINSTON SALEM, NC 27101 (336) 725-3999 |
| 1659732261 | MRS. SARAH SIZEMORE TALLEY LCSW Individual | Social Worker (Clinical) | 640 HOLLY AVE WINSTON SALEM, NC 27101 (336) 725-3999 |
| 1265446215 | CHRISTINE J JORDAN Individual | Marriage & Family Therapist | 640 HOLLY AVE WINSTON SALEM, NC 27101 (336) 725-3999 |
| 1700892478 | TRINITY CENTER INC Organization | Counselor | 640 HOLLY AVE WINSTON SALEM, NC 27101 (336) 725-3999 |
| 1780282962 | DR. JOSHUA PAUL ZIESEL PSYD, HSP-P Individual | Psychologist (Clinical) | 640 HOLLY AVE WINSTON SALEM, NC 27101 (336) 725-3999 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497455521, enumerated in the NPI registry as an "individual" on March 07, 2023
The provider is located at 640 Holly Ave Winston Salem, Nc 27101 and the phone number is (336) 725-3999
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on March 07, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.