WATERFALL CLINIC INCORPORATED
NPI 1851892509
Counselor - Mental Health in North Bend, OR

Active since February 27, 2018
1890 WAITE ST STE 1, NORTH BEND, OR 97459(541) 435-7033 Get Directions Write a Review

NPPES record last updated: January 13, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 13, 2019, Jun 16, 2018, Feb 27, 2018 (3 updates tracked since 2018).

About Waterfall Clinic Incorporated NPPES

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

WATERFALL CLINIC INCORPORATED (NPI 1851892509) is a healthcare organization registered as a mental health in North Bend, Oregon and active in the NPI registry since February 2018. The organization lists Andrea Trenner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851892509
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameWATERFALL CLINIC INCORPORATED
Location Address1890 WAITE ST STE 1North Bend, OR 97459-1229
Mailing Address1890 Waite St Ste 1North Bend, OR 97459-1229 · (541) 435-7033
Organization SubpartYes
Authorized OfficialAndrea TrennerCeo · (541) 435-7000
Enumeration DateFebruary 27, 2018
Last NPPES UpdateJanuary 13, 20193 updates tracked since enumeration
✔ NPI 1851892509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1890 WAITE ST STE 1, North Bend, OR 97459

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Waterfall Clinic Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

35

Medicare enrollment records show 35 clinicians reassign Medicare billing to Waterfall Clinic Incorporated, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner18
Clinical Social Worker7
Mental Health Counselor4
Occupational Therapist in Private Practice2
Certified Nurse Midwife (CNM)1
Emergency Medicine1
Family Practice1
Psychiatry1

Nearest to this location (20)

See all 35
Nurse Practitioner
NPI 1689141236
1890 WAITE ST
North Bend, OR 97459
(541) 756-6232
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043719990
1890 WAITE ST
North Bend, OR 97459
(541) 756-6232
✔ PECOSSame address
Nurse Practitioner
NPI 1225845951
1890 WAITE ST STE 1
North Bend, OR 97459
(541) 756-6232
✔ PECOSSame address
Clinical Social Worker
NPI 1902260524
1890 WAITE ST
North Bend, OR 97459
(541) 756-6232
✔ PECOSSame address
Occupational Therapist in Private Practice
NPI 1003249046
1890 WAITE ST STE 1
North Bend, OR 97459
(541) 756-6232
Same address
Nurse Practitioner
NPI 1619377322
1890 WAITE STREET STE 1
North Bend, OR 97459
(541) 756-6232
✔ PECOSSame address
Nurse Practitioner
NPI 1124594080
1890 WAITE ST
North Bend, OR 97459
(541) 756-6232
✔ PECOSSame address
Mental Health Counselor
NPI 1003329905
1890 WAITE ST
North Bend, OR 97459
(541) 756-6232
✔ PECOSSame address
Nurse Practitioner
NPI 1083246730
1957 THOMPSON RD STE E
Coos Bay, OR 97420
(541) 236-2778
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1518941350
2690 N 17TH ST
Coos Bay, OR 97420
(541) 269-5333
✔ PECOS0.3 mi
Nurse Practitioner
NPI 1447966437
1900 WOODLAND DR
Coos Bay, OR 97420
(541) 267-5151
✔ PECOS✔ Accepts Medicare0.6 mi
Emergency Medicine
NPI 1760552483
1900 WOODLAND DR
Coos Bay, OR 97420
(541) 267-5151
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1124657887
1900 WOODLAND DR
Coos Bay, OR 97420
(541) 267-5151
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1063832111
1300 N BAYSHORE DR
Coos Bay, OR 97420
(541) 435-7000
✔ PECOS1.4 mi
Nurse Practitioner
NPI 1619737210
1300 N BAYSHORE DR
Coos Bay, OR 97420
(541) 435-7000
✔ PECOS1.4 mi
Clinical Social Worker
NPI 1023137171
375 PARK AVE STE 2
Coos Bay, OR 97420
(559) 374-2240
✔ PECOS✔ Accepts Medicare1.7 mi
Mental Health Counselor
NPI 1679939524
375 PARK AVE STE 2
Coos Bay, OR 97420
(541) 751-5728
✔ PECOS1.7 mi
Clinical Social Worker
NPI 1578735270
444 N 4TH ST
Coos Bay, OR 97420
(541) 337-1856
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1447928494
180 S EMPIRE BLVD
Coos Bay, OR 97420
(775) 304-3811
✔ PECOS✔ Accepts Medicare2.0 mi
Clinical Social Worker
NPI 1699276287
790 E 5TH ST
Coquille, OR 97423
(541) 396-3111
✔ PECOS15 mi
See all 35 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Waterfall Clinic Incorporated's NPI number?

The NPI number for Waterfall Clinic Incorporated is 1851892509. It was assigned to this organization in the NPPES registry on February 27, 2018.

Where is Waterfall Clinic Incorporated located?

Waterfall Clinic Incorporated is located at 1890 Waite St Ste 1, North Bend, OR 97459. The listed phone number is (541) 435-7033.

What is Waterfall Clinic Incorporated's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Waterfall Clinic Incorporated enrolled in Medicare?

Yes. Waterfall Clinic Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Waterfall Clinic Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 8 Medicare specialties reassign their Medicare billing to Waterfall Clinic Incorporated. A 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 the clinician's services. The largest specialties are Nurse Practitioner (18), Clinical Social Worker (7) and Mental Health Counselor (4). Of these, 8 practice at this address and 19 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Waterfall Clinic Incorporated accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Waterfall Clinic Incorporated 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 Waterfall Clinic Incorporated was last updated on January 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.