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CASSANDRA MIASNIKOV
NPI 1275365314
Counselor - Mental Health in Portland, OR

Active since August 16, 2024
1250 NW KEARNEY ST APT 1306, PORTLAND, OR 97209(541) 668-3212 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2025, Aug 16, 2024 (2 updates tracked since 2024).

About Cassandra Miasnikov NPPES

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

CASSANDRA MIASNIKOV (NPI 1275365314) is an individual mental health provider in Portland, Oregon and active in the NPI registry since August 2024. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1275365314
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCASSANDRA MIASNIKOV
Location Address1250 NW KEARNEY ST APT 1306Portland, OR 97209-4083
Mailing Address1250 Nw Kearney St Apt 1306Portland, OR 97209-4083 · (541) 668-3212
Phone(541) 668-3212
Sole ProprietorYes
Enumeration DateAugust 16, 2024
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1275365314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1250 NW KEARNEY ST APT 1306, Portland, OR 97209
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Secondary Practice Location 1

Location 12410 SE 10th AvePortland, OR 97214-4624 · Phone (503) 383-9643 · Fax (503) 214-5545

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

PORTLAND NEURODIVERGENT CLINIC LLC
Counselor (Mental Health)
1250 NW KEARNEY ST APT 1306
PORTLAND, OR 97209
Multnomah County (971) 202-0047

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 Cassandra Miasnikov's NPI number?

The NPI number for Cassandra Miasnikov is 1275365314. It was assigned to this individual provider in the NPPES registry on August 16, 2024.

Where is Cassandra Miasnikov located?

Cassandra Miasnikov practices at 1250 NW Kearney St Apt 1306, Portland, OR 97209. The listed phone number is (541) 668-3212.

What is Cassandra Miasnikov's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Cassandra Miasnikov was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.