Diane Smith, in North Bend, OR - Medicare Mental Health Counselor Provider

Diane Smith, is a medicare enrolled "Counselor" provider in North Bend, Oregon. She graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Waterfall Clinic Incorporated and her current practice location is 1890 Waite St, North Bend, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 756-6232.

Diane Smith is licensed to practice in Idaho (license number LCPC-8350) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1003329905.

Contact Information

	Diane Smith,
	1890 Waite St, North Bend, OR 97459-1229
	(541) 756-6232
	(541) 756-6234

Map and Direction

Healthcare Provider's Profile

Full Name	Diane Smith
Gender	Female
Speciality	Mental Health Counselor
Experience	8 Years
Location	1890 Waite St, North Bend, Oregon
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Diane Smith graduated from medical school in 2018

NPI Data:

NPI Number: 1003329905
Provider Enumeration Date: 11/14/2017
Last Update Date: 06/29/2026

Medicare PECOS Information:

PECOS PAC ID: 4587008388
Enrollment ID: I20250523001751

Medical Identifiers

Medical identifiers for Diane Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003329905	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	C7279 (Oregon)	Secondary
101Y00000X	Counselor	(* (Not Available))	Secondary
101Y00000X	Counselor	LCPC-8350 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Waterfall Clinic Incorporated	5698740355	22

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Diane Smith allows following entities to bill medicare on her behalf.

Entity Name	Waterfall Clinic Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619915113 PECOS PAC ID: 5698740355 Enrollment ID: O20040827000153

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diane Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Diane Smith, 1890 Waite St, North Bend, OR 97459-1229 Ph: (541) 435-7000	Diane Smith, 1890 Waite St, North Bend, OR 97459-1229 Ph: (541) 756-6232

Reviews and Comments

Counselor in North Bend, OR

William Simon, Counselor Medicare: Medicare Enrolled Practice Location: 1592 Monroe St, North Bend, OR 97459 Phone: 541-756-2048 Fax: 541-756-2058
Mrs. Leanne Maylene Hake, CADCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 1950 Waite St, North Bend, OR 97459 Phone: 541-266-0020
Theodore Roy Woodruff, CRM Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Virginia Ave, North Bend, OR 97459 Phone: 541-751-0357
Mr. Jon Byron Albright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Virginia Ave, #201, North Bend, OR 97459 Phone: 541-751-0357 Fax: 541-751-9985
Mrs. Roberta Goldie Grenier, CADC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Virginia Ave, #201, North Bend, OR 97459 Phone: 541-751-0357 Fax: 541-751-9985
Maggie Klapperich, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Virginia Ave Ste 100, North Bend, OR 97459 Phone: 541-672-2691

Diane Smith, - Medicare Counselor in North Bend, OR