Cassandra Miasnikov

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1250 NW Kearney St Apt 1306
Portland, OR 97209-4083

Phone

(541) 668-3212

NPI assigned

Aug 16, 2024

Last updated

Jul 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Portland Neurodivergent Clinic LLC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1194549691
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1275365314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 NW KEARNEY ST APT 1306",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972094083",
            "telephone_number": "541-668-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 NW KEARNEY ST APT 1306",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972094083",
            "telephone_number": "541-668-3212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 SE 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972144624",
            "country_code": "US",
            "telephone_number": "503-383-9643",
            "fax_number": "503-214-5545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIASNIKOV",
        "first_name": "CASSANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia E Skourtis, MD, LLC
• Mia Neuse, L.Ac., LLC
• Heather Marie Miadowicz, MSPT
• Elizabeth A Miakinkoff, LMT, LMP, CA
• Burhan Ahmed Mian, MD
• Joshua Constantino Micallef, PA-C
• Ivana Micanovic
• Sydney Keen Micek, BA
• Michael Baskin MD LLC
• Michael C Royse, DMD, LLC

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.