Active NPI
Wellness Therapy Inc
- Professional Counselor
- Tigard, OR
National Provider Identifier
1205735024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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.