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

Mrs. Kelly Sheppard Pruitt, LCMHC

Individual provider Mental Health Counselor · NPI 1962172916

Mrs. Kelly Sheppard Pruitt, LCMHC is a Mental Health Counselor in Winston Salem, North Carolina. Qualified in 2013, 13 years ago. Practices with Animo Sano Psychiatry PLLC, a 47-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2021
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Practice location Address checks out

1255 Creekshire Way Ste 270
Winston Salem, NC 27103-3061
Phone: (336) 283-4757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 709 Trillium Ln, Winston Salem, NC 27127-6072 — (336) 314-1124

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 12644 (NC)

Record details

NPI number1962172916
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorNo
NPI enumeratedSeptember 20, 2021
Last updated in NPPESSeptember 20, 2021
Certification dateSeptember 8, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Animo Sano Psychiatry Pllc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Winston Salem