A HEALING INTENTION, LLC
NPI 1104236819
Community/Behavioral Health in Beaverton, OR
About A Healing Intention, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
A HEALING INTENTION, LLC (NPI 1104236819) is a healthcare organization registered as a community/behavioral health in Beaverton, Oregon and active in the NPI registry since May 2014. The organization lists Kevin C Miyasato, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
A Healing Intention, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to A Healing Intention, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 A Healing Intention, LLC's NPI number?
The NPI number for A Healing Intention, LLC is 1104236819. It was assigned to this organization in the NPPES registry on May 2, 2014.
Where is A Healing Intention, LLC located?
A Healing Intention, LLC is located at 12725 SW Millikan Way Suite 300, Beaverton, OR 97005. The listed phone number is (503) 906-7870.
What is A Healing Intention, LLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is A Healing Intention, LLC enrolled in Medicare?
Yes. A Healing Intention, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through A Healing Intention, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to A Healing Intention, LLC. 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 Clinical Social Worker (4), Mental Health Counselor (2) and Marriage and Family Therapist (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does A Healing Intention, LLC accept?
Health plans from Providence Health Plan list A Healing Intention, LLC 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 A Healing Intention, LLC was last updated on June 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# A Healing Intention, Llc · NPI 1104236819
Community/Behavioral Health organization in Beaverton, Oregon. Organization record, active in the CMS NPPES registry since May 2, 2014.
## Identity
- **NPI:** 1104236819 (Entity type: Organization)
- **Enumerated:** May 2, 2014
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Kevin Miyasato, OWNER
## Practice location
- **Address:** 12725 SW MILLIKAN WAY, SUITE 300, Beaverton, OR 97005-1678
- **Phone:** (503) 906-7870 · **Fax:** (503) 906-7871
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (4), Mental Health Counselor (2), Marriage and Family Therapist (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 6, 2014
- **Other identifiers:** Medicaid 500670052 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1104236819) · Data from the CMS NPPES public registry.