ANNIE PETROSSIAN
NPI 1619528312
Counselor - Professional in Portland, OR

Active since September 24, 2019PECOS EnrolledAccepts Medicare Assignment
2214 LLOYD CTR, PORTLAND, OR 97232(503) 494-4222(503) 494-6143 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2025, May 15, 2024, Sep 24, 2019 (3 updates tracked since 2019).

About Annie Petrossian NPPES

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

ANNIE PETROSSIAN (NPI 1619528312) is an individual professional provider in Portland, Oregon, licensed in Oregon (C7785) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tigard, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619528312
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANNIE PETROSSIAN
Location Address2214 LLOYD CTRPortland, OR 97232-1311
Mailing Address1400 Sw 5th Ave Ste 500Portland, OR 97201-5537 · (866) 617-6855 · Fax (503) 346-8015
Fax(503) 494-6143
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 24, 2019
Last NPPES UpdateJune 20, 20253 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
NPI 1619528312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OR · C7785
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2214 LLOYD CTR, Portland, OR 97232

Secondary Practice Location 1

Location 114738 SW 78th AveTigard, OR 97224-0005 · Phone (503) 705-3043

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Annie Petrossian is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911340062
PECOS Enrollment IDI20240206003203
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

Psychiatry & Neurology (Psychiatry)
2214 LLOYD CTR
PORTLAND, OR 97232
Counselor (Mental Health)
2214 LLOYD CTR
PORTLAND, OR 97232
Peer Specialist
2214 LLOYD CTR
PORTLAND, OR 97232
Counselor (Mental Health)
2214 LLOYD CTR
PORTLAND, OR 97232
Counselor (Mental Health)
2214 LLOYD CTR
PORTLAND, OR 97232

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 Annie Petrossian's NPI number?

The NPI number for Annie Petrossian is 1619528312. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Annie Petrossian located?

Annie Petrossian practices at 2214 Lloyd Ctr, Portland, OR 97232. The listed phone number is (503) 494-4222.

What is Annie Petrossian's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Annie Petrossian enrolled in Medicare?

Yes. Annie Petrossian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Annie Petrossian accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Annie Petrossian as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Annie Petrossian was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.