Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003329905 Individual Practitioner Female Practitioner

Diane Smith

Counselor • North Bend, OR

Professional Overview & Biography Verified Profile Summary

Diane Smith is a certified Counselor practicing in North Bend, OR. With approximately 8 years of clinical experience since completing medical education in 2018, Diane Smith delivers high-quality medical care to the local community at 1890 WAITE ST.

Diane Smith is affiliated with Waterfall Clinic Incorporated and does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1890 Waite St

North Bend, OR 974591229

Telephone 5417566232
Fax 5417566234
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in North Bend, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs Matches City Avg
City Avg: 8.0 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
29 Specialists

Practicing in North Bend, OR (4551 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (8 Years) 8 Yrs
North Bend Specialty Average (8.0 Years) 8.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-06-29
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License ID LCPC-8350

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

State License OR C7279

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

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.

Hospital & Practice Group Affiliations

Waterfall Clinic Incorporated

1890 Waite St, North Bend, OR 974591229

Phone: 5414357033

Waterfall Clinic Incorporated

1890 Waite St, North Bend, OR 974591229

Phone: 5414357033

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kelly Squire-Hamblet , MSOTR, L

Occupational Therapist

NPI 1003249046
Jennifer Holling

Community Health Worker

NPI 1023841764
Heather Brooks

Community Health Worker

NPI 1043046139
Shu-Wen Cheng

Nurse Practitioner - Primary Care

NPI 1043719990
Hannah Kirk

Behavior Technician

NPI 1053170316
Gladys Shade , QMHP, LCSW

Social Worker - Clinical

NPI 1114137494

Qualified Mental Health Professional, Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location June 29, 2026

Registered at 1890 WAITE ST, NORTH BEND, OR 974591229 (Tel: 5417566232)

📍
Updated Business Mailing Address June 29, 2026

Registered at 1890 WAITE ST, NORTH BEND, OR 974591229 (Tel: 5414357000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2026

Counselor (License #C7279 in OR)

📍
Updated Practice Location May 01, 2024

Registered at 2131 S BONITO WAY, MERIDIAN, ID 836421659 (Tel: 2082024732)

📍
Updated Business Mailing Address May 01, 2024

Registered at 2131 S BONITO WAY, MERIDIAN, ID 836421659 (Tel: 2082024732)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2024

Counselor (License #LCPC-8350 in ID)

NPI Profile Active November 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2017

Registered at 702 SUNSET DR, ONTARIO, OR 979143121 (Tel: 5418899167)

📍
Updated Business Mailing Address November 14, 2017

Registered at 702 SUNSET DR, ONTARIO, OR 979143121

👤
Provider Name / Credentials Updated November 14, 2017

Recorded as DIANE SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2017

Counselor

🟢
Initial NPI Registration & Enumeration November 14, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003329905
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2017
Last Update: June 29, 2026
Sole Proprietor: No

Mailing Address

1890 Waite St

North Bend, OR 974591229

Phone: 5414357000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.