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DIANE SMITH
NPI 1003329905
Counselor in North Bend, OR

Active since November 14, 2017PECOS Enrolled
1890 WAITE ST, NORTH BEND, OR 97459(541) 756-6232(541) 756-6234 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 1, 2024, Nov 14, 2017 (2 updates tracked since 2017).

About Diane Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE SMITH (NPI 1003329905) is an individual counselor in North Bend, Oregon, licensed in Idaho (LCPC-8350) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1003329905
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDIANE SMITH
Location Address1890 WAITE STNorth Bend, OR 97459-1229
Mailing Address1890 Waite StNorth Bend, OR 97459-1229 · (541) 435-7000 · Fax (541) 756-6234
Phone(541) 756-6232
Fax(541) 756-6234
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 14, 2017
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1003329905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Licenses✔ Licensed in ID · LCPC-8350✔ Licensed in OR · C7279
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1890 WAITE ST, North Bend, OR 97459
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan 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)

Diane Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587008388
PECOS Enrollment IDI20250523001751
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 Reassignments

2

Medicare enrollment records show Diane Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Waterfall Clinic Incorporated
Same address
Federally Qualified Health Center (FQHC)
1890 WAITE ST, SUITE 1
North Bend, OR 97459
  • Reassigned Medicare billing, Oregon enrollment
  • 35 clinicians in this Medicare group
NPI 1619915113 (541) 756-6232
Hbs Of Meridian, LLC
396 mi
Psychiatric Hospital
2131 S BONITO WAY
Meridian, ID 83642
  • Reassigned Medicare billing, Idaho enrollment
  • 2 clinicians in this Medicare group
NPI 1003397878 (208) 202-4700

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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHU-WEN CHENG
Nurse Practitioner (Primary Care)
1890 WAITE ST
NORTH BEND, OR 97459
Coos County (541) 756-6232
MS. GLADYS SHADE QMHP, LCSW
Social Worker (Clinical)
1890 WAITE ST, SUITE 1
NORTH BEND, OR 97459
Coos County (541) 756-6232
DOMINICA N ROBERTS FNP
Nurse Practitioner (Family)
1890 WAITE ST
NORTH BEND, OR 97459
Coos County (541) 756-6232
INNOVATIVE PHYSICAL THERAPY, INC
Physical Therapist
1890 WAITE ST, SUITE 5
NORTH BEND, OR 97459
Coos County (541) 756-4941
ARTHUR LEE M.S., BCBA
Behavior Analyst
1890 WAITE ST
NORTH BEND, OR 97459
Coos County (541) 756-6232
LAURA JEAN BURNSIDE-MCELLIGOTT
Nurse Practitioner (Family)
1890 WAITE ST, STE 1
NORTH BEND, OR 97459
Coos County (541) 756-6232
ASTRID DIEPENBROEK RDH LIMITED ACCESS
Dental Hygienist
1890 WAITE ST, SUITE 1
NORTH BEND, OR 97459
Coos County (541) 756-6232
ABIGAIL MARIE BLAKE RN
Registered Nurse
1890 WAITE ST
NORTH BEND, OR 97459
Coos County (541) 756-6232

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 Diane Smith's NPI number?

The NPI number for Diane Smith is 1003329905. It was assigned to this individual provider in the NPPES registry on November 14, 2017.

Where is Diane Smith located?

Diane Smith practices at 1890 Waite St, North Bend, OR 97459. The listed phone number is (541) 756-6232.

What is Diane Smith's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Diane Smith enrolled in Medicare?

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

Which organizations bill Medicare for Diane Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Smith reassigns Medicare benefits to 2 organizations: Waterfall Clinic Incorporated (North Bend, OR) and Hbs Of Meridian, LLC (Meridian, ID). Each 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 Diane Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diane Smith accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Diane 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 Diane Smith was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.