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Where on earth do you live that a simple conversation with a patient is enough for a medical diagnosis? Most usually require a form of observation
In the US, when using insurance, a preliminary diagnosis is usually required on the first visit in order for the claim to be approved.
Many therapists not submitting to insurance don't bother with a diagnosis, however some will still diagnose regardless. Additionally, if a patient requests a diagnosis for various reasons, they may give one.
There are restrictions as to which level/license can be allowed to diagnose, usually specific diagnoses are restricted however certain insurances (especially government insurance plans, like Medicare and Medicaid) will not allow certain licenses to diagnose.
For example, an LMFT (licensed marriage and family therapist) may not be allowed to diagnose A if the patient uses Medicare but a LPC (licensed professional counselor) is (I might have those backward). Still other diagnoses require more advanced degrees (usually a PsyD/PhD aka psychologists) to run the tests required for said diagnosis.
It also depends on the setting. In a hospital setting, usually the psychiatrist (MD/DO) will diagnose while the therapist will not.