KEVIN C. MIYASATO LCSW
NPI 1184902504
Social Worker - Clinical in Beaverton, OR

NPI Status: Active since August 02, 2011

Contact Information

12725 SW MILLIKAN WAY
SUITE 300
BEAVERTON, OR
ZIP 97005
Phone: (503) 906-7870
Fax: (503) 906-7871

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  • Individual
  • Male
  • Social Worker
  • Clinical
  • Accepts Insurance
  • PECOS Enrolled

About KEVIN MIYASATO

This page provides the complete NPI Profile along with additional information for Kevin Miyasato, a provider established in Beaverton, Oregon with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1184902504 assigned on August 2011. The practitioner's primary taxonomy code is 1041C0700X with license number 5855 (OR). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1184902504
Provider Name
KEVIN C. MIYASATO LCSW
Gender
Male
Entity Type
Individual
Location Address
12725 SW MILLIKAN WAY SUITE 300 BEAVERTON, OR 97005
Location Phone
(503) 906-7870
Location Fax
(503) 906-7871
Mailing Address
12725 SW MILLIKAN WAY SUITE 300 BEAVERTON, OR 97005
Mailing Phone
(503) 906-7870
Mailing Fax
(503) 906-7871
Is Sole Proprietor?
Yes
Enumeration Date
08-02-2011
Last Update Date
06-06-2014
Code Navigator

A clinical social worker like Kevin Miyasato is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
5855
License State
OR
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

00686 (NV)
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

5214-S (NV)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect 1500 Gold - EPO
  • Connect 5000 Silver - EPO
  • Connect 9200 Bronze - EPO
  • HSA Qualified 7100 Bronze - Signature Network - EPO
  • HSA Qualified 7100 Bronze - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
500670052MEDICAID (05)OR 

Medicare Participation & PECOS Enrollment Status

Kevin Miyasato is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 97005 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

  • Average New Patient Price $0
  • Minimum New Patient Price $58.99
  • Maximum New Patient Price $176.88
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $14.74
  • Maximum New Patient Copayment $44.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $73.28
  • Minimum Established Patient Price $19.32
  • Maximum Established Patient Price $144.79
  • Average Established Patient Copayment $18.32
  • Minimum Established Patient Copayment $4.83
  • Maximum Established Patient Copayment $36.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for KEVIN C. MIYASATO LCSW

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184902504
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21164180450
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 8 + 0 + 4 + 5 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1184902504 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104158112TERRI L MISHLER PSY D PC
Organization
Psychologist12725 SW MILLIKAN WAY SUITE 280
BEAVERTON, OR 97005
(503) 526-2917
1104236819A HEALING INTENTION, LLC
Organization
Community/Behavioral Health12725 SW MILLIKAN WAY SUITE 300
BEAVERTON, OR 97005
(503) 906-7870
1093168700SENIOR PSYCHIATRIC SERVICES
Organization
Psychiatry & Neurology (Psychiatry)12725 SW MILLIKAN WAY SUITE 300
BEAVERTON, OR 97005
(503) 906-7800
1992854947PJS, LLC
Organization
Clinic/Center (Radiology)12725 SW MILLIKAN WAY SUITE 300
BEAVERTON, OR 97005
(603) 906-7892
1114907144 SABINE CLARA MEYER M.D.
Individual
Psychiatry & Neurology (Geriatric Psychiatry)12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
(503) 906-7970
1790321545 GABRIEL TAYLOR-PARSONS APRN, PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)12725 SW MILLIKAN WAY
BEAVERTON, OR 97005
(971) 319-1592

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184902504, enumerated in the NPI registry as an "individual" on August 02, 2011

The provider is located at 12725 Sw Millikan Way Suite 300 Beaverton, Or 97005 and the phone number is (503) 906-7870

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $73.28 and an average copayment of 18.32. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on August 02, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.