GRACE ADELINE KOONTZ LMHC
NPI 1760037626
Counselor - Mental Health in Mountlake Terrace, WA

Active since August 07, 2019PECOS EnrolledAccepts Medicare Assignment
6505 216TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043(360) 854-3644 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 29, 2026, Nov 21, 2023, Sep 29, 2021 and 1 more (4 updates tracked since 2019).

About Grace Adeline Koontz Lmhc NPPES

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

GRACE ADELINE KOONTZ LMHC (NPI 1760037626) is an individual mental health provider in Mountlake Terrace, Washington, licensed in Washington (LH61510557) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mount Vernon, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1760037626
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGRACE ADELINE KOONTZCredential: LMHC
Location Address6505 216TH ST SW STE 100Mountlake Terrace, WA 98043-2089
Mailing Address1229 Harrison StMount Vernon, WA 98273-4819
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 7, 2019
Last NPPES UpdateMay 29, 20264 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1760037626 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 · LH61510557
6505 216TH ST SW STE 100, Mountlake Terrace, WA 98043

Secondary Practice Location 1

Location 11229 Harrison StMount Vernon, WA 98273-4819 · Phone (360) 854-3644

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Grace Adeline Koontz Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113469982
PECOS Enrollment IDI20240607001829
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 Grace Koontz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Washington enrollment
  • 777 clinicians in this Medicare group

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 20

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

Counselor (Mental Health)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Social Worker (Clinical)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Social Worker (Clinical)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Counselor (Mental Health)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Counselor (Mental Health)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Counselor (Mental Health)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Counselor (Mental Health)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Social Worker (Clinical)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043

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 Grace Koontz's NPI number?

The NPI number for Grace Koontz is 1760037626. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Where is Grace Koontz located?

Grace Koontz practices at 6505 216th St SW Ste 100, Mountlake Terrace, WA 98043. The listed phone number is (360) 854-3644.

What is Grace Koontz's specialty?

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

Is Grace Koontz enrolled in Medicare?

Yes. Grace Koontz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Grace Koontz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Koontz reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, 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 Grace Koontz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Koontz accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Grace Koontz 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 Grace Koontz was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.