DR. GRETCHEN PHUNG DMFT, LMFT
NPI 1992248231
Marriage & Family Therapist in Coon Rapids, MN

Active since November 18, 2016PECOS EnrolledAccepts Medicare Assignment
1660 121ST AVE NW, COON RAPIDS, MN 55448(612) 412-1192 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2026, Aug 24, 2023, Aug 17, 2022 and 1 more (4 updates tracked since 2016).

About Dr. Gretchen Phung Dmft, Lmft NPPES

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

DR. GRETCHEN PHUNG DMFT, LMFT (NPI 1992248231) is an individual marriage & family therapist in Coon Rapids, Minnesota, licensed in Minnesota (3142) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Andover, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1992248231
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDR. GRETCHEN PHUNGCredential: DMFT, LMFT
Location Address1660 121ST AVE NWCoon Rapids, MN 55448-1917
Mailing Address1660 121st Ave NwCoon Rapids, MN 55448-1917 · (612) 412-1192
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 18, 2016
Last NPPES UpdateMay 22, 20264 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1992248231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 3142
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1660 121ST AVE NW, Coon Rapids, MN 55448

Secondary Practice Location 1

Location 12705 Bunker Lake Blvd NW Ste 112Andover, MN 55304-3785 · Phone (612) 900-0233

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

Dr. Gretchen Phung Dmft, Lmft 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 ID8527402585
PECOS Enrollment IDI20240216004213
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 Reassignments

4

Medicare enrollment records show Gretchen Phung reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marriage & Family Therapist
1660 121ST AVE NW
Coon Rapids, MN 55448
  • Reassigned Medicare billing, Minnesota enrollment
Mental Health
2705 BUNKER LAKE BLVD NW STE 112
Andover, MN 55304
  • Reassigned Medicare billing, Minnesota enrollment
  • 29 clinicians in this Medicare group
Mental Health
7066 STILLWATER BLVD N
Oakdale, MN 55128
  • Reassigned Medicare billing, Minnesota enrollment
  • 83 clinicians in this Medicare group
Marriage & Family Therapist
11990 PORTLAND AVE
Burnsville, MN 55337
  • Reassigned Medicare billing, Minnesota enrollment
  • 27 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

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

Marriage & Family Therapist
1660 121ST AVE NW
COON RAPIDS, MN 55448

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 Phung's NPI number?

The NPI number for Gretchen Phung is 1992248231. It was assigned to this individual provider in the NPPES registry on November 18, 2016.

Where is Gretchen Phung located?

Gretchen Phung practices at 1660 121st Ave NW, Coon Rapids, MN 55448. The listed phone number is (612) 412-1192.

What is Gretchen Phung's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Gretchen Phung enrolled in Medicare?

Yes. Gretchen Phung 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 organizations bill Medicare for Gretchen Phung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gretchen Phung reassigns Medicare benefits to 4 organizations: Renewly Counseling PLLC (Coon Rapids, MN), Conscious Healing Counseling Inc (Andover, MN), Canvas Health, Inc. (Oakdale, MN) and Ashlee Secord (Burnsville, MN). Each 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 Phung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gretchen Phung accept?

Health plans from HealthPartners list Gretchen Phung 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 Phung was last updated on May 22, 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.