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

Diane Smith

Individual provider Counselor · NPI 1003329905

Diane Smith is a Mental Health Counselor in North Bend, Oregon. Qualified in 2018, 8 years ago. Practices with Waterfall Clinic Incorporated, a 17-clinician group. Licensed in Idaho and Oregon.

Years since qualifying
8
Licensed in
ID, OR
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

1890 Waite St
North Bend, OR 97459-1229
Phone: (541) 756-6232
Fax: (541) 756-6234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LCPC-8350 (ID)
Counselor Taxonomy 101Y00000X · Licence C7279 (OR)
Counselor Taxonomy 101Y00000X

Record details

NPI number1003329905
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 14, 2017
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address1890 Waite St, North Bend, OR 97459-1229

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Waterfall Clinic Incorporated — 17 clinicians
Accepts Medicare assignment Not indicated

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