ANNASTACIA DESIREE WEISS
NPI 1619523255
Counselor - Mental Health in Portland, OR

Active since August 09, 2019
12121 E BURNSIDE ST, PORTLAND, OR 97216(971) 361-7700 Get Directions Write a Review

NPPES record last updated: August 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Annastacia Desiree Weiss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNASTACIA DESIREE WEISS (NPI 1619523255) is an individual mental health provider in Portland, Oregon, licensed in Oregon (19-QMHA-I-02193) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1619523255
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANNASTACIA DESIREE WEISS
Location Address12121 E BURNSIDE STPortland, OR 97216-3737
Mailing Address232 Nw 6th AvePortland, OR 97209-3609 · (503) 294-1681
Sole ProprietorNo
Enumeration DateAugust 9, 2019
NPI 1619523255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · 19-QMHA-I-02193
12121 E BURNSIDE ST, Portland, OR 97216

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Registered Nurse
12121 E BURNSIDE ST
PORTLAND, OR 97216
Internal Medicine
12121 E BURNSIDE ST
PORTLAND, OR 97216
Social Worker (Clinical)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
12121 E BURNSIDE ST
PORTLAND, OR 97216
Peer Specialist
12121 E BURNSIDE ST
PORTLAND, OR 97216
Nurse Practitioner (Family)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Peer Specialist
12121 E BURNSIDE ST
PORTLAND, OR 97216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annastacia Weiss's NPI number?

The NPI number for Annastacia Weiss is 1619523255. It was assigned to this individual provider in the NPPES registry on August 9, 2019.

Where is Annastacia Weiss located?

Annastacia Weiss practices at 12121 E Burnside St, Portland, OR 97216. The listed phone number is (971) 361-7700.

What is Annastacia Weiss's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Annastacia Weiss was last updated on August 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.