Diane Smith

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LCPC-8350 Issued in ID

Practice address

1890 Waite St
North Bend, OR 97459-1229

Phone

(541) 756-6232

Fax

(541) 756-6234

NPI assigned

Nov 14, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, OR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Waterfall Clinic IncorporatedGroup PAC ID 5698740355, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Waterfall Clinic Incorporated

  • Federally Qualified Health Center (FQHC)
  • North Bend, OR
  • NPI 1619915113

  OR

  Medicare reassignment Care Compare group NPD
• HBS of Meridian, LLC

  • Psychiatric Hospital
  • Meridian, ID
  • NPI 1003397878

  ID

  Medicare reassignment NPD
• Waterfall Clinic, Incorporated

  • Federally Qualified Health Center (FQHC)
  • North Bend, OR
  • NPI 1447889480
  Care Compare group NPD
• Waterfall Clinic, Incorporated

  • Psychiatric/Mental Health Nurse Practitioner
  • Coos Bay, OR
  • NPI 1619673704
  Care Compare group NPD
• Waterfall Clinic Incorporated

  • General Practice Dentistry
  • North Bend, OR
  • NPI 1700522489
  Care Compare group
• Waterfall Clinic, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Coos Bay, OR
  • NPI 1508133299
  Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1003329905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 WAITE ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974591229",
            "telephone_number": "541-435-7000",
            "fax_number": "541-756-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 WAITE ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974591229",
            "telephone_number": "541-756-6232",
            "fax_number": "541-756-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C7279",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LCPC-8350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Simon
• Sara A Simpkins, LPC
• Simple Treasures in Home Care, Inc
• Kathryn I Sisson, RN, BSN
• Michael John Slaska
• Doreen Bonnie Smith, M.S. CCC-SLP
• Gabe Smith
• Kurt Bradford Smith, CADC II, CRM, QMHA I
• Lori Lynn Smith, MS, CCC-SLP
• Todd Andrew Smith, RETIRED REG. NURSE

• All providers in North Bend, OR
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.