Individual provider Active NPI

Gregory Ernest Erbes, SUDP

  • Addiction (Substance Use Disorder) Counselor
  • Kelso, WA
National Provider Identifier
1629328612
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP60080415 Issued in WA
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.

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

LicenseStateTypeSpecialty
CP60080415WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cowlitz Family Health Center Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60080415 WA Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.