Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DIANE SMITH
NPI 1003329905
Counselor in North Bend, OR

Q: 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.

Q: What is Diane Smith's specialty?

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

Q: 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 39 days 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.

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: August 02, 2026.

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

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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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Diane Smith accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan 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 39 days 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.