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TARA MISRA MS, MSW
NPI 1417620154
Social Worker - Clinical in Portland, OR

Active since July 28, 2021Opted out of Medicare · through May 18, 2028
1235 SE DIVISION ST, PORTLAND, OR 97202(360) 726-4141 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tara Misra Ms, Msw NPPES

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

TARA MISRA MS, MSW (NPI 1417620154) is an individual clinical provider in Portland, Oregon, licensed in Oregon (A12635) and active in the NPI registry since July 2021. She has opted out of Medicare through May 18, 2028 and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417620154
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTARA MISRACredential: MS, MSW
Location Address1235 SE DIVISION STPortland, OR 97202-1099
Mailing Address4620 Se 40th Ave Apt 1Portland, OR 97202-4091 · (505) 620-1692
Phone(360) 726-4141
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 28, 2021
NPPES CertifiedJuly 28, 2021
✔ NPI 1417620154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · A12635
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.
1235 SE DIVISION ST, Portland, OR 97202
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tara Misra Ms, Msw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 18, 2026 through May 18, 2028.

Opt-Out Effective DateMay 18, 2026
Opt-Out In Effect ThroughMay 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MRS. MONICKA APRIL KONESKI LMT, RYT
Massage Therapist
1235 SE DIVISION ST, SUITE 203B
PORTLAND, OR 97202
Multnomah County (503) 319-8056
NORA GROD LAC LLC
Acupuncturist
1235 SE DIVISION ST, STE 106A
PORTLAND, OR 97202
Multnomah County (503) 893-9289
ARIA WALKER, LAC
Clinic/Center (Multi-Specialty)
1235 SE DIVISION ST, SUITE 206
PORTLAND, OR 97202
Multnomah County (503) 446-1960
DR. CHRISTABETH GUPANA BOYD M.D.
Family Medicine
1235 SE DIVISION ST, STE 115
PORTLAND, OR 97202
Multnomah County (541) 754-1150
MRS. ANDREA BETH-CALHOUN RANDALL
Counselor (Mental Health)
1235 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (360) 726-4141
ANNE CUTHBERT LPC
Counselor (Mental Health)
1235 SE DIVISION ST, SUITE 104
PORTLAND, OR 97202
Multnomah County (503) 766-3399
TINA GILBERTSON L.P.C.
Counselor (Mental Health)
1235 SE DIVISION ST, SUITE 207
PORTLAND, OR 97202
Multnomah County (503) 544-6179
CLARICE DODD
Counselor (Mental Health)
1235 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (360) 980-8285

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 Tara Misra's NPI number?

The NPI number for Tara Misra is 1417620154. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Tara Misra located?

Tara Misra practices at 1235 SE Division St, Portland, OR 97202. The listed phone number is (360) 726-4141.

What is Tara Misra's specialty?

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

Is Tara Misra enrolled in Medicare?

No. Tara Misra has opted out of Medicare through May 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Tara Misra accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Tara Misra 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 Tara Misra was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.