Organization Active NPI

Wellness Therapy Inc

  • Professional Counselor
  • Tigard, OR
National Provider Identifier
1205735024
Registry record updated Nov 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WELLNESS THERAPY INC
Practice address
14738 SW 78TH Ave
14738 SW 78TH Ave
Tigard, OR 97224-0005
Phone
(503) 705-3043
Fax
(971) 708-6113
NPI assigned
Nov 5, 2026
Last updated
Nov 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2026

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

Authorized official

Name
Annie Petrossian, LPC
Title
President
Phone
(503) 300-8883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

14738 SW 78TH Ave
14738 SW 78TH Ave
Tigard, OR 97224-0005

Mailing address

14738 SW 78TH Ave
14738 SW 78TH Ave
Tigard, OR 97224-0005
Phone (503) 705-3043

NPI Registry JSON

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

{
    "created_epoch": "1793836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793836800000",
    "number": "1205735024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14738 SW 78TH AVE",
            "address_2": "14738 SW 78TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972240005",
            "telephone_number": "503-705-3043",
            "fax_number": "971-708-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14738 SW 78TH AVE",
            "address_2": "14738 SW 78TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972240005",
            "telephone_number": "503-705-3043",
            "fax_number": "971-708-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-05",
        "last_updated": "2026-11-05",
        "certification_date": "2026-11-05",
        "status": "A",
        "authorized_official_last_name": "PETROSSIAN",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-300-8883",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.