Active NPI
Shay Laurren Reynolds
- Mental Health Counselor
- Vancouver, WA
National Provider Identifier
1336832724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61595690
- Practice address
- 652 Officers Row
Vancouver, WA 98661-3836 - Phone
- (971) 202-1220
- NPI assigned
- May 31, 2023
- Last updated
- Dec 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH61595690 | WA | Primary |
Addresses
Primary practice location
652 Officers Row
Vancouver, WA 98661-3836
Mailing address
652 Officers Row
Vancouver, WA 98661-3836
Phone (971) 317-1960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH61595690 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portal Counseling Services | Current | Accepting new patients |
Locations
10000 NE 7th Ave
Ste 410D
Vancouver, WA 98685
Phone (360) 512-7129
652 Officers Row
Vancouver, WA 98661
Phone (360) 949-9140
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Vancouver, WA
- NPI 1982383758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1336832724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 OFFICERS ROW",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613836",
"telephone_number": "971-317-1960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 OFFICERS ROW",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613836",
"telephone_number": "971-202-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "SHAY",
"middle_name": "LAURREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-31",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61595690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.