Annie Burt

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

4055 SW Garden Home Rd
Portland, OR 97219-3664

Phone

(509) 906-3153

Fax

(833) 968-1900

NPI assigned

Feb 12, 2026

Last updated

Feb 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindful Therapy Pacific NW, LLC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1437810538
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1144172057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 SW GARDEN HOME RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193664",
            "telephone_number": "509-906-3153",
            "fax_number": "833-968-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 SW GARDEN HOME RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193664",
            "telephone_number": "509-906-3153",
            "fax_number": "833-968-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "ANNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burstein-Rose PC
• Guy David Burstein, LCSW
• Abigail Marie Burt, MA
• Alexander Robert Burt, MD
• Amanda Caroline Burt
• Joni L Burt, OTR/L
• Julie Ann Burtis, DPT
• Alexandra Lynne Burton, LMT
• Deidre L Burton, MD
• Dorothy Joanna Burton

• Student in an Organized Health Care Education/Training Program in Portland, OR
• Providers in Portland, OR by specialty
• Student in an Organized Health Care Education/Training Program in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.