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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: November 08, 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
Phone(509) 822-6777
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
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Gretchen Van Bodegom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Foundations Family Support LLC
Same address
Mental Health
922 S COWLEY ST STE 9
Spokane, WA 99202
  • Reassigned Medicare billing, Washington enrollment
  • 4 clinicians in this Medicare group
NPI 1083103238 (855) 995-6777

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

FOUNDATIONS FAMILY SUPPORT LLC
Counselor (Mental Health)
922 S COWLEY ST STE 9
SPOKANE, WA 99202
Spokane County (855) 995-6777
TAMI BEELAERT LICSW
Social Worker (Clinical)
922 S COWLEY ST STE 9
SPOKANE, WA 99202
Spokane County (509) 822-6777
MYLA EWING
Counselor (Mental Health)
922 S COWLEY ST STE 9
SPOKANE, WA 99202
Spokane County (855) 995-6777
CHRISTIE R. RAY MA LMHC
Counselor (Mental Health)
922 S COWLEY ST STE 9
SPOKANE, WA 99202
Spokane County (509) 822-6777
ALYSA REY MICKEY LICSW
Social Worker (Clinical)
922 S COWLEY ST STE 9
SPOKANE, WA 99202
Spokane County (509) 822-6777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gretchen Van Bodegom's NPI number?

The NPI number for Gretchen Van Bodegom is 1649938168. It was assigned to this individual provider in the NPPES registry on December 1, 2021.

Where is Gretchen Van Bodegom located?

Gretchen Van Bodegom practices at 922 S Cowley St Ste 9, Spokane, WA 99202. The listed phone number is (509) 822-6777.

What is Gretchen Van Bodegom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Gretchen Van Bodegom enrolled in Medicare?

Yes. Gretchen Van Bodegom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gretchen Van Bodegom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gretchen Van Bodegom reassigns Medicare benefits to Foundations Family Support LLC (Spokane, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gretchen Van Bodegom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gretchen Van Bodegom accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Gretchen Van Bodegom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gretchen Van Bodegom was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.