IndividualActive
Marlys Petersen, MA
NPI 1134510316 · Mental Health Counselor · Portland, OR
Provider details
- NPI number
- 1134510316
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8325 Sw 61st Ave
Portland, OR 97219-3109
Phone: (503) 867-9913
Street-level locationGet directions
Mailing address
Po Box 80524
Portland, OR 97280-1524
Registry dates
- Enumerated
- 2015-02-10
- Last updated
- 2015-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.