Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Diane Smith-Stanley, LCMHC

Individual provider Mental Health Counselor · NPI 1497455521

Kimberly Diane Smith-Stanley, LCMHC is a Mental Health Counselor in Winston Salem, North Carolina. Qualified in 2007, 19 years ago. Practices with Trinity Center Inc, an 8-clinician group and accepts Medicare assignment. Licensed in North Carolina and Texas.

Years since qualifying
19
Licensed in
NC, TX
In the registry since
2023
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

640 Holly Ave
Winston Salem, NC 27101-2716
Phone: (336) 725-3999
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 18490 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 63689 (TX)

Record details

NPI number1497455521
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorNo
NPI enumeratedMarch 7, 2023
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Trinity Center Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Winston Salem