Individual provider Active NPI

Gwen G. Sipes, LMT, LMP, LMHCA

  • Mental Health Counselor
  • Freeland, WA
National Provider Identifier
1295961720
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61405997 Issued in WA
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

Updated by the provider on Nov 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
MC61405997WAMDMental Health Counselor
14303ORMDMassage Therapist
MA60085483WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Living Therapy, LLC Mental Health CurrentSince Mar 16, 2021 Accepting new patients
Breathing Space Counseling LLC Mental Health CurrentSince Nov 24, 2025 Accepting new patients
Breathing Space Counseling LLC Mental Health CurrentSince Nov 24, 2025 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.

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.

Verify at the official NPI Registry.