Individual provider Active NPI

Gretchen Elizabeth Etheredge, M.MFT, LMFT-S

  • Marriage & Family Therapist
  • Abilene, TX
National Provider Identifier
1811378409
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201462 Issued in TX
Practice address
238 Sayles Blvd
Abilene, TX 79605-2054
Phone
(325) 201-3030
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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 201462 TX Primary

Addresses

Primary practice location

238 Sayles Blvd
Abilene, TX 79605-2054

Mailing address

1401 Griffith Rd
Abilene, TX 79601-3942
Phone (325) 428-7360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 17, 2024 through Jun 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
201462TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1811378409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 GRIFFITH RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013942",
            "telephone_number": "325-428-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 SAYLES BLVD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796052054",
            "telephone_number": "325-201-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHEREDGE",
        "first_name": "GRETCHEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.MFT, LMFT-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.