KEVIN C. MIYASATO LCSW
NPI 1184902504
Social Worker - Clinical in Beaverton, OR

Active since August 02, 2011PECOS Enrolled
12725 SW MILLIKAN WAY, SUITE 300, BEAVERTON, OR 97005(503) 906-7870(503) 906-7871 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin C. Miyasato Lcsw NPPES

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

KEVIN C. MIYASATO LCSW (NPI 1184902504) is an individual clinical provider in Beaverton, Oregon, licensed in Oregon (5855) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184902504
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEVIN C. MIYASATOCredential: LCSW
Location Address12725 SW MILLIKAN WAY, SUITE 300Beaverton, OR 97005-1678
Mailing Address12725 Sw Millikan Way, Suite 300Beaverton, OR 97005-1678 · (503) 906-7870 · Fax (503) 906-7871
Fax(503) 906-7871
Sole ProprietorYes
Enumeration DateAugust 2, 2011
Last NPPES UpdateJune 6, 2014
NPI 1184902504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in OR · 5855 Licensed in NV · 5214-S
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 00686 (NV)
12725 SW MILLIKAN WAY, Beaverton, OR 97005

Other Identifiers 1

Medicaid500670052OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kevin C. Miyasato Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
12725 SW MILLIKAN WAY, SUITE 300
BEAVERTON, OR 97005
Psychologist
12725 SW MILLIKAN WAY, SUITE 280
BEAVERTON, OR 97005
Community/Behavioral Health
12725 SW MILLIKAN WAY, SUITE 300
BEAVERTON, OR 97005
Psychiatry & Neurology (Geriatric Psychiatry)
12725 SW MILLIKAN WAY, STE 300
BEAVERTON, OR 97005
Nurse Practitioner (Psychiatric/Mental Health)
12725 SW MILLIKAN WAY
BEAVERTON, OR 97005
Clinic/Center (Radiology)
12725 SW MILLIKAN WAY, SUITE 300
BEAVERTON, OR 97005

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 Kevin Miyasato's NPI number?

The NPI number for Kevin Miyasato is 1184902504. It was assigned to this individual provider in the NPPES registry on August 2, 2011.

Where is Kevin Miyasato located?

Kevin Miyasato practices at 12725 SW Millikan Way Suite 300, Beaverton, OR 97005. The listed phone number is (503) 906-7870.

What is Kevin Miyasato's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kevin Miyasato enrolled in Medicare?

Yes. Kevin Miyasato is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Miyasato accept?

Health plans from Kaiser Permanente and Providence Health Plan list Kevin Miyasato 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 Kevin Miyasato 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.