Jerald Henry Stockman, M.S., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF00000965 Issued in WA

Practice address

6511 150TH PL SE
Bellevue, WA 98006-5027

Phone

(425) 562-8005

Fax

(425) 746-2021

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Jerry Stockman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194886218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 150TH PL SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065027",
            "telephone_number": "425-562-8005",
            "fax_number": "425-746-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 150TH PL SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065027",
            "telephone_number": "425-562-8005",
            "fax_number": "425-746-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKMAN",
        "first_name": "JERALD",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "M.S., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00000965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "LF00000965",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRY",
            "last_name": "STOCKMAN",
            "prefix": "MR.",
            "credential": "M.S., LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Catherine Stine, MPT
• Jenna Stirling, LICSW
• Sean O'Brien Stitham, MD
• Victoria K Stocker, MD
• Cherice Marie Stockert
• Amy Stoddard
• Tina Stokke, LMP
• Thomas C Stoll, M.D.
• Emma Lynn Stolz, MA, LMHC, MHP
• Judy R Stone-Goldman, PHD., CCC-SLP

• Marriage & Family Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.