Active NPI
Gregory Ernest Erbes, SUDP
- Addiction (Substance Use Disorder) Counselor
- Kelso, WA
National Provider Identifier
1629328612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP60080415
- Practice address
- 621 Grade St
Kelso, WA 98626-2606 - Phone
- (360) 425-9210
- Fax
- (360) 501-6131
- NPI assigned
- Sep 17, 2012
- Sex
- Male
- Sole proprietor
- No
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Kelso, WA
- NPI 1104243534
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 |
|---|---|---|---|
| CP60080415 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cowlitz Family Health Center | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP60080415 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
621 Grade St
Kelso, WA 98626-2606
Mailing address
1057 12TH Ave
Longview, WA 98632-2509
Phone (360) 425-9210
Other practice location 1
2232 S Silver Lake Rd
Castle Rock, WA 98611-8021
Phone (360) 274-3262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 1, 2025.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1629328612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1057 12TH AVE",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322509",
"telephone_number": "360-425-9210",
"fax_number": "360-501-6131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 GRADE ST",
"city": "KELSO",
"state": "WA",
"postal_code": "986262606",
"telephone_number": "360-425-9210",
"fax_number": "360-501-6131"
}
],
"practiceLocations": [
{
"address_1": "2232 S Silver Lake Rd",
"address_purpose": "LOCATION",
"city": "Castle Rock",
"state": "WA",
"postal_code": "986118021",
"country_code": "US",
"telephone_number": "360-274-3262",
"fax_number": "360-274-3345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERBES",
"first_name": "GREGORY",
"middle_name": "ERNEST",
"credential": "SUDP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-17",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP60080415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kelso, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.