GRETCHEN H VAN BODEGOM
NPI 1649938168
Counselor - Mental Health in Spokane, WA

Active since December 01, 2021PECOS Enrolled
922 S COWLEY ST STE 9, SPOKANE, WA 99202(509) 822-6777(509) 676-6655 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 8, 2024, Dec 1, 2021 (2 updates tracked since 2021).

About Gretchen H Van Bodegom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRETCHEN H VAN BODEGOM (NPI 1649938168) is an individual mental health provider in Spokane, Washington, licensed in Washington (LH61551656) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kent.

NPPES Registry Identity

NPI1649938168
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGRETCHEN H VAN BODEGOM
Location Address922 S COWLEY ST STE 9Spokane, WA 99202-1263
Mailing Address922 S Cowley St Ste 9Spokane, WA 99202-1263 · (509) 822-6777 · Fax (509) 676-6655
Fax(509) 676-6655
Sole ProprietorNo
Enumeration DateDecember 1, 2021
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
NPI 1649938168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · LH61551656
922 S COWLEY ST STE 9, Spokane, WA 99202

Secondary Practice Location 1

Location 1232 2nd Ave SKent, WA 98032-5862 · Phone (253) 859-0300

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gretchen H Van Bodegom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
922 S COWLEY ST STE 9
SPOKANE, WA 99202
Counselor (Mental Health)
922 S COWLEY ST STE 9
SPOKANE, WA 99202
Counselor (Mental Health)
922 S COWLEY ST STE 9
SPOKANE, WA 99202
Social Worker (Clinical)
922 S COWLEY ST STE 9
SPOKANE, WA 99202
Counselor (Mental Health)
922 S COWLEY ST STE 9
SPOKANE, WA 99202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649938168, enumerated as an "individual" on December 01, 2021.

The provider is located at 922 S COWLEY ST STE 9 SPOKANE, WA 99202 and the phone number is (509) 822-6777.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.