Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gretchen Phung, DMFT, LMFT

Individual provider Marriage & Family Therapist · NPI 1992248231

Dr. Gretchen Phung, DMFT, LMFT is a Marriage and Family Therapist in Coon Rapids, Minnesota. Qualified in 2022, 4 years ago. Practices with Canvas Health Inc, a 28-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2016
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

1660 121st Ave NW
Coon Rapids, MN 55448-1917
Phone: (612) 412-1192
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2705 Bunker Lake Blvd Nw Ste 112, Andover, MN 55304-3785 — (612) 900-0233

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 3142 (MN)

Record details

NPI number1992248231
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMFT , LMFT
Sole proprietorNo
NPI enumeratedNovember 18, 2016
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Canvas Health Inc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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