Active NPI
Gwen G. Sipes, LMT, LMP, LMHCA
- Mental Health Counselor
- Freeland, WA
National Provider Identifier
1295961720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61405997
- Practice address
- 1796 Main St Ste 201
Freeland, WA 98249-9428 - Phone
- (360) 963-4550
- NPI assigned
- Jun 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61405997 | WA | Primary |
| Massage Therapist | 225700000X | 14303 | OR | |
| Massage Therapist | 225700000X | MA60085483 | WA |
Addresses
Primary practice location
1796 Main St Ste 201
Freeland, WA 98249-9428
Mailing address
6599 Simmons Dr # B
Clinton, WA 98236-9636
Other practice location 1
6599 Simmons Dr # B
Clinton, WA 98236-9636
Phone (360) 963-4550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61405997 | WA | MD | Mental Health Counselor |
| 14303 | OR | MD | Massage Therapist |
| MA60085483 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Living Therapy, LLC | Mental Health | Current | Accepting new patients |
| Breathing Space Counseling LLC | Mental Health | Current | Accepting new patients |
| Breathing Space Counseling LLC | Mental Health | Current | Accepting new patients |
Locations
7500 212th St SW
Ste 205
Edmonds, WA 98026
Phone (425) 977-4988
1796 Main St
Ste 201
Freeland, WA 98249
Phone (858) 314-8240
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Edmonds, WA
- NPI 1063855609
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1295961720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6599 SIMMONS DR # B",
"city": "CLINTON",
"state": "WA",
"postal_code": "982369636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1796 MAIN ST STE 201",
"city": "FREELAND",
"state": "WA",
"postal_code": "982499428",
"telephone_number": "360-963-4550"
}
],
"practiceLocations": [
{
"address_1": "6599 Simmons Dr # B",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "WA",
"postal_code": "982369636",
"country_code": "US",
"telephone_number": "360-963-4550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIPES",
"first_name": "GWEN",
"middle_name": "G.",
"credential": "LMT, LMP, LMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-10",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61405997",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "14303",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60085483",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freeland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.