Individual provider Active NPI

Gretchen Koenig, LMFT

  • Marriage & Family Therapist
  • Poulsbo, WA
National Provider Identifier
1457478968
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0001652 Issued in CO
Practice address
3911 NE Rova Rd
Poulsbo, WA 98370-8883
Phone
(720) 468-7161
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0001652 CO Primary
Marriage & Family Therapist 106H00000X LF61507765 WA

Addresses

Primary practice location

3911 NE Rova Rd
Poulsbo, WA 98370-8883

Mailing address

3911 NE Rova Rd
Poulsbo, WA 98370-8883
Phone (720) 468-7161

Other practice location 1

98 Wadsworth Blvd # 1273267
Lakewood, CO 80226-1550
Phone (720) 468-7161

Other identifiers 2

IdentifierTypeStateIssuer
2307791MedicaidWA
244057MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250610003512 WA Practitioner - Marriage and Family Therapist 2769992544 Practice locations: Poulsbo, WA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

435 NW Liberty Rd
Poulsbo, WA 98370-8303
Phone (720) 468-7161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001652COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Simply Being Psychotherapy, PLLC Marriage & Family Therapist PastSince Nov 21, 2021 Accepting new patients

Organizations & group practices 1

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1457478968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 NE ROVA RD",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708883",
            "telephone_number": "720-468-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 NE ROVA RD",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708883",
            "telephone_number": "720-468-7161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98 Wadsworth Blvd # 1273267",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802261550",
            "country_code": "US",
            "telephone_number": "720-468-7161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "GRETCHEN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0001652",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF61507765",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2307791",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "244057",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

Verify at the official NPI Registry.