Individual provider Active NPI

Marta Jo Grissom, LMHC

  • Mental Health Counselor
  • Auburn, WA
National Provider Identifier
1881020758
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60402671 Issued in WA
Practice address
105 M St NE
Auburn, WA 98002-4430
Phone
(253) 831-6222
Fax
(253) 887-7620
NPI assigned
Sep 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60402671 WA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60472466 WA

Addresses

Primary practice location

105 M St NE
Auburn, WA 98002-4430

Mailing address

105 M St NE
Auburn, WA 98002-4430
Phone (253) 831-6222

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
CP60472466WAMDAddiction (Substance Use Disorder) Counselor
LH60402671WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
MJG Counseling, PLLC Addiction (Substance Use Disorder) Current Accepting new patients
Sound PastSince Oct 23, 2020 Accepting new patients

Locations

105 M St NE
Auburn, WA 98002
Phone (253) 334-3905

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": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1881020758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 M ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024430",
            "telephone_number": "253-831-6222",
            "fax_number": "253-887-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 M ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024430",
            "telephone_number": "253-831-6222",
            "fax_number": "253-887-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISSOM",
        "first_name": "MARTA",
        "middle_name": "JO",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60402671",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60472466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.