GRETCHEN A KOEHNE LCPC
NPI 1679845465
Counselor - Professional in Maryville, IL

Active since February 08, 2012
2016 VADALABENE DR STE A, MARYVILLE, IL 62062(618) 960-5750(618) 288-0737 Get Directions Write a Review

NPPES record last updated: May 15, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Gretchen A Koehne Lcpc NPPES

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

GRETCHEN A KOEHNE LCPC (NPI 1679845465) is an individual professional provider in Maryville, Illinois, licensed in Illinois (180008111) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1679845465
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameGRETCHEN A KOEHNECredential: LCPC
Location Address2016 VADALABENE DR STE AMaryville, IL 62062-6901
Mailing Address1301 Waverly DrCollinsville, IL 62234-2949 · (618) 960-5750 · Fax (618) 288-0737
Fax(618) 288-0737
Sole ProprietorYes
Enumeration DateFebruary 8, 2012
Last NPPES UpdateMay 15, 2012
NPI 1679845465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180008111
2016 VADALABENE DR STE A, Maryville, IL 62062

Other Names 1

Former Name (1)Gretchen A Timm Ma

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
2016 VADALABENE DR STE A
MARYVILLE, IL 62062
Social Worker (Clinical)
2016 VADALABENE DR STE A
MARYVILLE, IL 62062
Counselor (Professional)
2016 VADALABENE DR STE A
MARYVILLE, IL 62062
Community/Behavioral Health
2016 VADALABENE DR STE A
MARYVILLE, IL 62062

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 Koehne's NPI number?

The NPI number for Gretchen Koehne is 1679845465. It was assigned to this individual provider in the NPPES registry on February 8, 2012. The provider is also known as Gretchen A Timm Ma.

Where is Gretchen Koehne located?

Gretchen Koehne practices at 2016 Vadalabene Dr Ste A, Maryville, IL 62062. The listed phone number is (618) 960-5750.

What is Gretchen Koehne's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Gretchen Koehne was last updated on May 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.