JULIE A KEANAAINA LCSW, LICSW, MBA
NPI 1780987511
Social Worker - Clinical in Portland, OR

Active since December 16, 2010PECOS EnrolledAccepts Medicare Assignment
222 NW DAVIS ST STE 309, PORTLAND, OR 97209(503) 334-3035(503) 961-9212 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Julie A Keanaaina Lcsw, Licsw, Mba NPPES

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

JULIE A KEANAAINA LCSW, LICSW, MBA (NPI 1780987511) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L5390) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Beaverton, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1780987511
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJULIE A KEANAAINACredential: LCSW, LICSW, MBA
Location Address222 NW DAVIS ST STE 309Portland, OR 97209-3900
Mailing Address222 Nw Davis St Ste 309Portland, OR 97209-3900 · (503) 334-3035 · Fax (503) 961-9212
Fax(503) 961-9212
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateDecember 16, 2010
Last NPPES UpdateAugust 24, 2022
NPPES CertifiedAugust 24, 2022
✔ NPI 1780987511 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
License✔ Licensed in OR · L5390
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 ListedSocial WorkerTaxonomy 104100000X · License 1774 (HI)
222 NW DAVIS ST STE 309, Portland, OR 97209

Other Names 1

Former Name (1)Julie A Misseldine

Secondary Practice Location 1

Location 11500 NW Bethany Blvd, Suite 320Beaverton, OR 97006-5208 · Phone (503) 659-5515

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Julie A Keanaaina Lcsw, Licsw, Mba is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587816251
PECOS Enrollment IDI20121203000203
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 Reassignments

2

Medicare enrollment records show Julie Keanaaina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
811 SW 6TH AVE STE 1000
Portland, OR 97204
  • Reassigned Medicare billing, Oregon enrollment
  • 29 clinicians in this Medicare group
Clinical
2420 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Oregon enrollment
  • 314 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97209 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.

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 Julie Keanaaina's NPI number?

The NPI number for Julie Keanaaina is 1780987511. It was assigned to this individual provider in the NPPES registry on December 16, 2010. The provider is also known as Julie A Misseldine.

Where is Julie Keanaaina located?

Julie Keanaaina practices at 222 NW Davis St Ste 309, Portland, OR 97209. The listed phone number is (503) 334-3035.

What is Julie Keanaaina's specialty?

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

Is Julie Keanaaina enrolled in Medicare?

Yes. Julie Keanaaina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Julie Keanaaina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julie Keanaaina reassigns Medicare benefits to 2 organizations: Psychological Services Connection LLC (Portland, OR) and Western Psychological And Counseling Services LLC (Tacoma, WA). Each 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 Julie Keanaaina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julie Keanaaina accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Julie Keanaaina 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 Julie Keanaaina was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.