MIRA MAHENDRA CAVANAUGH MA, LPC, ATR
NPI 1306203344
Counselor - Mental Health in Beaverton, OR

Active since January 21, 2016
12578 SW BROADWAY ST, BEAVERTON, OR 97005(503) 367-3268 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 18, 2019, Jan 21, 2016 (2 updates tracked since 2016).

About Mira Mahendra Cavanaugh Ma, Lpc, Atr NPPES

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

MIRA MAHENDRA CAVANAUGH MA, LPC, ATR (NPI 1306203344) is an individual mental health provider in Beaverton, Oregon, licensed in Oregon (C3985) and active in the NPI registry since January 2016. She maintains a secondary practice location in Beaverton.

NPPES Registry Identity

NPI1306203344
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMIRA MAHENDRA CAVANAUGHCredential: MA, LPC, ATR
Location Address12578 SW BROADWAY STBeaverton, OR 97005-2136
Mailing Address13001 Sw 63rd PlPortland, OR 97219-8068
Sole ProprietorYes
Enumeration DateJanuary 21, 2016
Last NPPES UpdateJanuary 18, 20192 updates tracked since enumeration
NPI 1306203344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · C3985
12578 SW BROADWAY ST, Beaverton, OR 97005

Secondary Practice Location 1

Location 112525 SW 3rd StBeaverton, OR 97005-0517 · Phone (503) 367-3268

Accepted Insurance

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 Mira Cavanaugh's NPI number?

The NPI number for Mira Cavanaugh is 1306203344. It was assigned to this individual provider in the NPPES registry on January 21, 2016.

Where is Mira Cavanaugh located?

Mira Cavanaugh practices at 12578 SW Broadway St, Beaverton, OR 97005. The listed phone number is (503) 367-3268.

What is Mira Cavanaugh's specialty?

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

What insurance does Mira Cavanaugh accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Mira Cavanaugh 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 Mira Cavanaugh was last updated on January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.