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

MS. Wanda C. Kellyman, MS, NCC, LCMHC

Individual provider Mental Health Counselor · NPI 1114519451

MS. Wanda C. Kellyman, MS, NCC, LCMHC is a Mental Health Counselor in Winston Salem, North Carolina. Qualified in 2017, 9 years ago. Practices with The Moses H Cone Memorial Hospital Operating Corporation, a 724-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2021
What do these letters mean?
MS — Master of Science
A graduate science degree.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

313 Water Lily Cir
Winston Salem, NC 27107-6048
Phone: (336) 686-7385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 15671 (NC)

Record details

NPI number1114519451
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , NCC , LCMHC
Sole proprietorNo
NPI enumeratedFebruary 8, 2021
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Moses H Cone Memorial Hospital Operating Corporation — 724 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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