MRS. KIM ANNETTE SMITH LPC
NPI 1396132775
Counselor - Professional in Roseburg, OR

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since April 23, 2015PECOS Enrolled

150 NE KENNETH FORD DR, ROSEBURG, OR 97470(541) 672-9596(541) 672-7146 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Kim Annette Smith Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIM ANNETTE SMITH LPC (NPI 1396132775) is an individual professional provider in Roseburg, Oregon, licensed in Oregon (C4337) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396132775

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. KIM ANNETTE SMITHCredential: LPC

Location Address150 NE KENNETH FORD DRRoseburg, OR 97470-1042

Mailing Address150 Ne Kenneth Ford DrRoseburg, OR 97470-1042 · (541) 672-9596 · Fax (541) 440-3554

Phone(541) 672-9596

Fax(541) 672-7146

Sole ProprietorNo

Enumeration DateApril 23, 2015

Last NPPES UpdateOctober 9, 2018

✔ NPI 1396132775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OR · C4337

150 NE KENNETH FORD DR, Roseburg, OR 97470

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Other Names 1

Former Name (1)Kim A Oxford

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kim Annette Smith 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 20

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

DR. THERESA MARIE LUNDY MD

Internal Medicine