Individual provider Active NPI

Gretchen Justine Stockman, LMFT

  • Marriage & Family Therapist
  • Lakewood, WA
National Provider Identifier
1134461288
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60725630 Issued in WA
Practice address
6927 Lakewood Dr.
#C-4
Lakewood, WA 98467
Phone
(253) 370-9713
Fax
(253) 302-5989
NPI assigned
Mar 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF60725630 WA Primary

Addresses

Primary practice location

6927 Lakewood Dr.
#C-4
Lakewood, WA 98467

Mailing address

10209 Bridgeport Way SW Ste A5
Lakewood, WA 98499-2321
Phone (253) 370-9713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 15, 2024 through Jan 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LF60725630WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Renovation Biblical Counseling Services, PLLC Marriage & Family Therapist Current Accepting new patients

Locations

10209 Bridgeport Way SW
Ste A5
Lakewood, WA 98499
Phone (253) 221-8895

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1134461288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10209 BRIDGEPORT WAY SW STE A5",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992321",
            "telephone_number": "253-370-9713",
            "fax_number": "253-302-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6927 LAKEWOOD DR.",
            "address_2": "#C-4",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98467",
            "telephone_number": "253-370-9713",
            "fax_number": "253-302-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKMAN",
        "first_name": "GRETCHEN",
        "middle_name": "JUSTINE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60725630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.