MARIAH C MIRO (CADC CANDIDATE/QMHP) – Mental Health Counselor, NPI 1083128516
Mental Health Counselor
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,405 CLINICAL SOCIAL WORKER in OR
Provider Addresses for MARIAH C MIRO (CADC CANDIDATE/QMHP)
620 NE 2nd St
Gresham, OR 970307514
Phone: (971) 274-3757
Fax: (503) 912-5740
Type: Location
1698 SW Cherry Park Rd
Troutdale, OR 970601481
Phone: (503) 667-3186
Type: Location
335 SE 8th Ave
Hillsboro, OR 971234246
Phone: (503) 681-1789
Type: Location
Native American Rehabilitation Association of the Northwest, 1776, Southwest Madison Street, Goose Hollow, Portland, Metro, Multnomah County, Oregon, 97205, United States
PORTLAND, OR 972051715
Phone: (971) 386-2278
Fax: (503) 224-4494
Type: Mailing
Tuality Community Hospital, 335, Southeast 8th Avenue, Central Hillsboro, Hillsboro, Metro, Washington County, Oregon, 97123, United States
HILLSBORO, OR 971234246
Phone: (503) 681-1789
Type: Location
101 MANNING DR
CHAPEL HILL, NC 275144220
Phone: (849) 974-3844
Fax: (503) 224-4494
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251016004053 | I | Clinical Social Worker | NC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | NC | |
| - | NC | |
| - | NC | |
| - | NC | |
| - | NC | |
| - | NC | |
| Clinical Social Worker | NC | |
| Clinical Social Worker | NC | |
| - | NC | |
| Clinical Social Worker | NC |
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