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D'VORAH BROCKMAN MAYA QMHP, LPC, NCC
NPI 1275986085
Counselor - Professional in Portland, OR

Active since July 16, 2016PECOS Enrolled
847 NE 19TH AVE STE 100, PORTLAND, OR 97232(503) 238-0769 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2023, Jun 15, 2021, Jun 11, 2019 and 1 more (4 updates tracked since 2016).

About D'vorah Brockman Maya Qmhp, Lpc, Ncc NPPES

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

D'VORAH BROCKMAN MAYA QMHP, LPC, NCC (NPI 1275986085) is an individual professional provider in Portland, Oregon, licensed in Oregon (C7718) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275986085
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameD'VORAH BROCKMAN MAYACredential: QMHP, LPC, NCC
Location Address847 NE 19TH AVE STE 100Portland, OR 97232-2684
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Phone(503) 238-0769
Sole ProprietorNo
Enumeration DateJuly 16, 2016
Last NPPES UpdateOctober 2, 20234 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
✔ NPI 1275986085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C7718
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
847 NE 19TH AVE STE 100, Portland, OR 97232
Open in Google Maps ↗

Other Identifiers 1

OtherC7718OR · Lpc Registration Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

D'vorah Brockman Maya Qmhp, Lpc, Ncc 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.

Medicare Billing Reassignment

Medicare enrollment records show D'vorah Maya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cascadia Health
Same address
Multi-Specialty
847 NE 19TH
Portland, OR 97232
  • Reassigned Medicare billing, Oregon enrollment
  • 79 clinicians in this Medicare group
NPI 1336196401 (503) 238-0769

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

TESHA YOLANDA MITCHELL
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
JENNIFER PETERS
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
REAGAN WILLIAM SELLERS
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
PHILLIP ALEXANDER HALL
Case Manager/Care Coordinator
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
KATE OLDFIELD
Counselor (Addiction (Substance Use Disorder))
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
KERSEY STEPHEN HARDING
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
EMILY HURD
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
REESE ERVIN GIBERSON
Social Worker
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769

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 D'vorah Maya's NPI number?

The NPI number for D'vorah Maya is 1275986085. It was assigned to this individual provider in the NPPES registry on July 16, 2016.

Where is D'vorah Maya located?

D'vorah Maya practices at 847 NE 19th Ave Ste 100, Portland, OR 97232. The listed phone number is (503) 238-0769.

What is D'vorah Maya's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is D'vorah Maya enrolled in Medicare?

Yes. D'vorah Maya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for D'vorah Maya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), D'vorah Maya reassigns Medicare benefits to Cascadia Health (Portland, OR). The 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 D'vorah Maya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does D'vorah Maya accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list D'vorah Maya 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 D'vorah Maya was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.