Individual provider Active NPI

Sydney Grover, MS, LMHC, MHP

  • Mental Health Counselor
  • Kent, WA
National Provider Identifier
1417606435
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61613773 Issued in WA
Practice address
841 Central Ave N # C114
Kent, WA 98032-2016
Phone
(206) 901-2000
NPI assigned
Mar 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X LH61613773 WA
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X LH61613773 WA Primary

Addresses

Primary practice location

841 Central Ave N # C114
Kent, WA 98032-2016

Mailing address

6400 Southcenter Blvd
Tukwila, WA 98188-2547
Phone (206) 901-2000

Other practice location 1

122 16th Ave E
Seattle, WA 98112-5212
Phone (206) 302-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250528002774 WA Practitioner - Mental Health Counselor 2365961778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SoundGroup PAC ID 1759282197, 50 clinicians

Practice addresses (Care Compare)

6400 Southcenter Blvd
Tukwila, WA 98188-2547
Phone (206) 901-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Sound CurrentSince Mar 16, 2025 Accepting new patients

Locations

841 Central Ave N
Ste C114
Kent, WA 98032
Phone (206) 302-2889

841 Central Ave N
#C114
Kent, WA 98032
Phone (206) 743-1640

1600 E Olive St
Seattle, WA 98122
Phone (206) 302-2800

122 16th Ave E
Seattle, WA 98112
Phone (206) 302-2700

6400 Southcenter Blvd
Tukwila, WA 98188
Phone (206) 444-3600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1417606435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SOUTHCENTER BLVD",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882547",
            "telephone_number": "206-901-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 CENTRAL AVE N # C114",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980322016",
            "telephone_number": "206-901-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 16th Ave E",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981125212",
            "country_code": "US",
            "telephone_number": "206-302-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROVER",
        "first_name": "SYDNEY",
        "credential": "MS, LMHC, MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH61613773",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61613773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.