Gretchen Petrie Graff, M.A., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6716 Issued in LA

Practice address

10536 Auto Mall Pkwy Ste B
Diberville, MS 39540-3742

Phone

(985) 260-1914

NPI assigned

Feb 3, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Wells of Life Counseling LLC

  • Professional Counselor
  • D'Iberville, MS
  • NPI 1124806344
  NPD

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1689097123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36108 VINSON RD",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704525802",
            "telephone_number": "985-260-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10536 AUTO MALL PKWY STE B",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395403742",
            "telephone_number": "985-260-1914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36108 Vinson Rd",
            "address_purpose": "LOCATION",
            "city": "Pearl River",
            "state": "LA",
            "postal_code": "704525802",
            "country_code": "US",
            "telephone_number": "985-260-1914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRIE GRAFF",
        "first_name": "GRETCHEN",
        "name_prefix": "Ms.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "3016",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in D'Iberville, MS
• Providers in D'Iberville, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.