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

Annie Petrossian

Individual provider Mental Health Counselor · NPI 1619528312

Annie Petrossian is a Mental Health Counselor in Portland, Oregon. Qualified in 2020, 6 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2214 Lloyd Ctr
Portland, OR 97232-1311
Phone: (503) 494-4222
Fax: (503) 494-6143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14738 Sw 78th Ave, Tigard, OR 97224-0005 — (503) 705-3043

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C7785 (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1619528312
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2019
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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