Patrick Petrie Psychotherapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PATRICK PETRIE PSYCHOTHERAPY, LLC

Practice address

1312 SW 16TH Ave Ste 102
Portland, OR 97201-2620

Phone

(971) 203-2074

NPI assigned

Mar 5, 2025

Organization subpart

No

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

Authorized official

Name

Patrick PetrieNPI 1164921169

Title

Owner

Phone

(503) 550-1584

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Petrie

  • Mental Health Counselor
  • Portland, OR
  • NPI 1164921169
  NPD Authorized official

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752969600000",
    "number": "1992503940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 SW 16TH AVE STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972012620",
            "telephone_number": "971-203-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 SW 16TH AVE STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972012620",
            "telephone_number": "971-203-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK PETRIE PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A",
        "authorized_official_last_name": "PETRIE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-550-1584"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Patrick Franko PT LLC
• Patrick L Hanley MD PC
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• Patrick Welly, LMFT
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• Amanda G Patrick
• Amy Patrick, CSWA

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2025; 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.