Individual provider Active NPI

Semi Grey, LMHC, SUDP, LPC

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1831669217
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61583980 Issued in WA
Practice address
2001 Main St Ste a
Vancouver, WA 98660-2673
Phone
(360) 209-2135
NPI assigned
Nov 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP61381857 WA
Mental Health Counselor 101YM0800X R8879 OR
Mental Health Counselor 101YM0800X LH61583980 WA Primary

Addresses

Primary practice location

2001 Main St Ste a
Vancouver, WA 98660-2673

Mailing address

2001 Main St Ste a
Vancouver, WA 98660-2673
Phone (360) 448-1807

Other practice location 1

2923 NE Broadway St
Portland, OR 97232-1760
Phone (360) 209-2135

Other identifiers 4

IdentifierTypeStateIssuer
CP61381857OtherWASUDP
1669411377OtherNPN
C9921OtherORLICENSED PROFESSIONAL COUNSELOR
LH61583980OtherWAWASHINGTON STATE DOH

Other names 1

  • Semi Grey Other name

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
I20250318002105 WA Practitioner - Mental Health Counselor 3971025040 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP61381857WAMDAddiction (Substance Use Disorder) Counselor
R8879ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Neurocounseling, PLLC Addiction (Substance Use Disorder) CurrentSince Mar 7, 2025 Accepting new patients
Portalis Mental Health Mental Health Current Accepting new patients

Locations

2923 NE Broadway St
Portland, OR 97232
Phone (503) 208-5566

12220 113th Ave NE
Ste 210
Kirkland, WA 98034
Phone (206) 925-3410

2001 Main St
Ste 101
Vancouver, WA 98660

2001 Main St
Ste A
Vancouver, WA 98660
Phone (360) 209-2135

Organizations & group practices 2

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": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1831669217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MAIN ST STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602673",
            "telephone_number": "360-448-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MAIN ST STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602673",
            "telephone_number": "360-209-2135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2923 NE Broadway St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972321760",
            "country_code": "US",
            "telephone_number": "360-209-2135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREY",
        "first_name": "SEMI",
        "credential": "LMHC, SUDP, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "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": "CP61381857",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R8879",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61583980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUDP",
            "identifier": "CP61381857",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPN",
            "identifier": "1669411377",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "C9921",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DOH",
            "identifier": "LH61583980",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEMI",
            "last_name": "GREY",
            "credential": "LMHC, SUDP, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.