1. Home
  2. Directory
  3. Oregon
  4. Roseburg
  5. Counselor
  6. NPI Profile

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

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: November 01, 2026.

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kim Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Umpqua Community Health Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
150 KENNETH FORD DR
Roseburg, OR 97470
  • Reassigned Medicare billing, Oregon enrollment
  • 52 clinicians in this Medicare group
NPI 1396751772 (541) 672-9596

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MISHA MARIE PEEL DO
Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
DR. JUSTIN L JONES DDS
Dentist (Dental Public Health)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
DR. JOHN TRAVIS MELLING MD
Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
ARIELLE FAITH BURNETT DMD
Dentist
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
UMPQUA COMMUNITY HEALTH CENTER, INC.
Pharmacy (Community/Retail Pharmacy)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
JORDAN ENDRES DDS
Dentist (General Practice)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
MIRRANDA RENEE MANDERA CHW
Community Health Worker
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
DR. OBIAGERI EGEOLU MD
Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Smith's NPI number?

The NPI number for Kim Smith is 1396132775. It was assigned to this individual provider in the NPPES registry on April 23, 2015. The provider is also known as Kim A Oxford.

Where is Kim Smith located?

Kim Smith practices at 150 NE Kenneth Ford Dr, Roseburg, OR 97470. The listed phone number is (541) 672-9596.

What is Kim Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kim Smith enrolled in Medicare?

Yes. Kim Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kim Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Smith reassigns Medicare benefits to Umpqua Community Health Center, Inc. (Roseburg, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kim Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim Smith accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kim Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kim Smith was last updated on October 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.