Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Portland Neurodivergent Clinic LLC

Organization Mental Health Counselor · NPI 1194549691

Portland Neurodivergent Clinic LLC provides Mental Health Counselor services in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1250 NW Kearney St Apt 1306
Portland, OR 97209-4083
Phone: (971) 202-0047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1194549691
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cassandra Miasnikov — Owner/Clinical Director · (971) 202-0047
Other names Portland Neurodivergent Clinic
NPI enumeratedNovember 12, 2024
Last updated in NPPESNovember 12, 2024
Certification dateNovember 11, 2024
Mailing address1250 Nw Kearney St Apt 1306, Portland, OR 97209-4083

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