Diane Smith
NPI 1003329905ActiveIndividual· Counselor· North Bend, OR
Counselor with Waterfall Clinic Incorporated, practicing in North Bend, Oregon. Enrolled in Medicare as practitioner - mental health counselor and practitioner - mental health counselor.
Overview
| NPI | 1003329905 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 14, 2017 |
| Last updated in NPPES | Jun 29, 2026 |
| Certified by provider | Jun 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | LCPC-8350 | ID |
| Counselor | 101Y00000X | C7279 | OR |
| Counselor | 101Y00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (ID); Practitioner - Mental Health Counselor (OR) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Waterfall Clinic IncorporatedNorth Bend, OR · 14 clinicians
Other counselors in North Bend
- 1467726059
- 1801226485
- 1235511304
- 1063786614
- 1730430950
- 1225569411
- 1154813178
- 1164978433
- 1811348477
- 1932520160
- 1851825970
- 1972035095