Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annastacia Desiree Weiss

Individual provider Mental Health Counselor · NPI 1619523255

Annastacia Desiree Weiss is a Mental Health Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019

Practice location Address checks out

12121 E Burnside St
Portland, OR 97216-3737
Phone: (971) 361-7700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 19-QMHA-I-02193 (OR)

Record details

NPI number1619523255
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 9, 2019
Last updated in NPPESAugust 9, 2019

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