Gretchen Phung, DMFT, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3142 Issued in MN

Practice address

1660 121St Ave NW
Coon Rapids, MN 55448-1917

Phone

(612) 412-1192

NPI assigned

Nov 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Marriage and Family Therapist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canvas Health IncGroup PAC ID 8729073978, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Canvas Health, Inc.

  • Mental Health Counselor
  • Oakdale, MN
  • NPI 1922051325
  Medicare reassignment Care Compare group NPD
• Renewly Counseling PLLC

  • Marriage & Family Therapist
  • Coon Rapids, MN
  • NPI 1700741055
  Medicare reassignment NPD Authorized official
• Conscious Healing Counseling Inc

  • Mental Health Counselor
  • Andover, MN
  • NPI 1366944597
  Medicare reassignment NPD
• Ashlee Secord

  • Marriage & Family Therapist
  • Burnsville, MN
  • NPI 1073902177
  Medicare reassignment
• Fraser

  • Rehabilitation Clinic/Center
  • Richfield, MN
  • NPI 1063568574
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1992248231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 121ST AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554481917",
            "telephone_number": "612-412-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 121ST AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554481917",
            "telephone_number": "612-412-1192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2705 Bunker Lake Blvd NW Ste 112",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "MN",
            "postal_code": "553043785",
            "country_code": "US",
            "telephone_number": "612-900-0233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHUNG",
        "first_name": "GRETCHEN",
        "name_prefix": "Dr.",
        "credential": "DMFT, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Matthew Pfundstein, PHARMD
• Michael Philbrook, PHARM.D.
• Cheyenne Rose Phillips
• David M Phillips, D.D.S.
• Tiffany Phu
• Jonathan David Pieper, MA, LMFT
• Celina M Pierce
• Stacy May Piere, MSW, LICSW
• Noel Pillman, MD
• Pineview Health Services LLC

• Marriage & Family Therapist in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.