Ethan David Pettyjohn, LPC
Professional Counselor · Portland, OR
Ethan David Pettyjohn, LPC is a professional counselor with a practice address in Portland, Oregon, and NPI 1619452307, issued on Sep 27, 2018. Check the license (Oregon C7752, as entered in NPPES) with the Oregon board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ethan David Pettyjohn
- Credential
- LPC
- Primary taxonomy
- Professional Counselor 101YP2500X
- License number
- C7752 OR
Self-reported in NPPES; status is on the state search - Practice location
- 9755 SW Barnes RD, Portland, OR 97225
- Phone
- (503) 444-4862
- Enumerated
- Sep 27, 2018
- Record last updated
- Nov 13, 2023
- Medicare enrollment
- Enrolled (PECOS I20250916001600); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest professional counselor records → All 2,558 in Oregon → Look up another NPI →
Also registered at 9755 SW Barnes RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Greg Bradley-Popovich, DPTPhysical Therapist1700927449
- Rebecca Cherry, PSYDClinical Psychologist1477736577
- Kelly Grover, LPCProfessional Counselor1528656493
- David Robison, PSYDClinical Psychologist1255786810
- Jordan Wolfe, LCSWClinical Social Worker1730800079
- Bria Woodworker-Schmid, MA, LPCMental Health Counselor1255767802
Verify Ethan David Pettyjohn in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Oregon board licenses this profession
Search for license C7752Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Western Psychological And Counseling Services LLCPortland, OR
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ethan David Pettyjohn among 2,558 professional counselor records in Oregon
Ethan David Pettyjohn, LPC is one of 2,558 professional counselor records with a practice address in Oregon. 13% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 67% of them.
- NPI issued2018 · 67% of these records are older, 29% newer
- In a Medicare fileYes · 13% of these records are
- In the CMS Doctors and Clinicians fileYes · 21% of these records are
- Graduated2018 · median 2014 among the 542 with a school on file
- Record last updated2023 · 41% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YP2500X and a Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
740 professional counselor records list a practice address in Portland
They are 740 of the 42,088 NPPES records with a practice address in Portland, and 2,558 professional counselor records in Oregon.
All 2,558 in Oregon → Every provider in Portland → Professional Counselor nationwide →
The 8 professional counselor records with the nearest ZIP codes
- Patricia Beck, M.ED.,LPCPortland, OR 972251508021130
- Kristi Dahlman, LMHC, LPCPortland, OR 972251225183825
- Jennifer JimPortland, OR 972251144535162
- Kathy Lefor, LPCPortland, OR 972251619025145
- Kathleen Love, LPCPortland, OR 972251427047927
- Luann Magnuson, LPCPortland, OR 972251801115480
- Julie Mannon, LPC, LMHCPortland, OR 972251639495989
- Cami Misk, LPCPortland, OR 972251669786893
Common questions
What is Ethan David Pettyjohn, LPC's NPI number?
Ethan David Pettyjohn, LPC's National Provider Identifier (NPI) is 1619452307, issued on Sep 27, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Ethan David Pettyjohn, LPC located?
The NPPES record lists a practice address at 9755 SW Barnes RD, Portland, OR, 97225. Phone: (503) 444-4862. Providers update this record themselves, so call before visiting.
How can I verify Ethan David Pettyjohn, LPC's license?
NPPES lists Oregon license number C7752, as entered by the provider. Search the Oregon board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.