Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396132775 Individual Practitioner Female Practitioner

Kim Annette Smith , LPC

Counselor - Professional • Roseburg, OR

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kim Smith, LPC is a registered healthcare professional specializing in Counselor - Professional in Roseburg, OR. Official NPI practice address is registered at 150 NE KENNETH FORD DR.

Practice Location & Contact Primary Location

Practice Address

150 Ne Kenneth Ford Dr

Roseburg, OR 974701042

Telephone 5416729596
Fax 5416727146
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Roseburg, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.4 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
59 Specialists

Practicing in Roseburg, OR (2601 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C4337

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Misha Peel , DO

Family Medicine

NPI 1003374323

Doctor of Osteopathic Medicine (D.O.)

Dr. Justin Jones , DDS

Dentist - Dental Public Health

NPI 1013083427

Doctor of Dental Surgery

Dr. John Melling , MD

Family Medicine

NPI 1013536382

Doctor of Medicine (M.D.)

NPI 1023701984

Doctor of Dental Medicine

Dr. Jordan Endres , DDS

Dentist - General Practice

NPI 1083073522

Doctor of Dental Surgery

Malia Delohery-Dart , LCSW

Social Worker - Clinical

NPI 1083741946

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location October 09, 2018

Registered at 150 NE KENNETH FORD DR, ROSEBURG, OR 974701042 (Tel: 5416729596)

📍
Updated Business Mailing Address October 09, 2018

Registered at 150 NE KENNETH FORD DR, ROSEBURG, OR 974701042 (Tel: 5416729596)

👤
Provider Name / Credentials Updated October 09, 2018

Recorded as KIM SMITH, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2018

Counselor (License #C4337 in OR)

NPI Profile Active April 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2015

Registered at 272 MEDICAL LOOP, SUITE E, ROSEBURG, OR 97471 (Tel: 5414403432)

📍
Updated Business Mailing Address April 23, 2015

Registered at 272 MEDICAL LOOP, SUITE E, ROSEBURG, OR 97471 (Tel: 5414403432)

👤
Provider Name / Credentials Updated April 23, 2015

Recorded as KIM SMITH, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2015

Counselor

🟢
Initial NPI Registration & Enumeration April 23, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396132775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2015
Last Update: October 09, 2018
Sole Proprietor: No

Mailing Address

150 Ne Kenneth Ford Dr

Roseburg, OR 974701042

Phone: 5416729596

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.