MR. JERALD HENRY STOCKMAN (NPI# 1194886218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194886218 |
| Entity Type | Individual |
| Full Name | MR. JERALD HENRY STOCKMAN |
| Other Name | MR. JERRY STOCKMAN |
| Credential | M.S., LMFT |
| Practice Address |
6511 150th Pl Se Bellevue WA 98006-5027 |
| Practice Telephone | 4255628005 |
| Practice Fax Number | 4257462021 |
| Mailing Telephone | 4255628005 |
| Mailing Fax Number | 4257462021 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LF00000965 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE LICENSURE | LF00000965 | 01 |
| Street Address |
6511 150TH PL SE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-5027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447736640 | Deborah Runke | Marriage & Family Therapist | 1160 140th Ave Ne Ste E&f, Bellevue, WA 98005-2978 | 2018-07-11 |
| 1700313665 | Kristin Nicole Mendoza | Marriage & Family Therapist | 13646 Ne 24th St, Bellevue, WA 98005-1859 | 2017-05-22 |
| 1245765312 | Amy Peterson | Marriage & Family Therapist | 17128 Se 35th St, Bellevue, WA 98008-5820 | 2017-04-26 |
| 1306295860 | Linda Dulan | Marriage & Family Therapist | 4861 167th Ave Se, Bellevue, WA 98006-5897 | 2016-06-06 |
| 1063872844 | Sophia Lust | Marriage & Family Therapist | 11711 Se 8th St, Suite 315, Bellevue, WA 98005-3543 | 2016-03-07 |
| 1902295777 | Christina Steere | Marriage & Family Therapist | 915 118th Ave Se Ste 285, Bellevue, WA 98005-3800 | 2015-01-16 |
| 1093131070 | Tina Marie Ensminger | Marriage & Family Therapist | 1400 112th Ave Se Ste 202, Bellevue, WA 98004-6901 | 2014-03-13 |
| 1790113504 | Jennifer Marie Peters | Marriage & Family Therapist | 16130 Se Eastgate Way Apt D105, Bellevue, WA 98008-5474 | 2013-10-15 |
| 1639510001 | Sarah Howbert | Marriage & Family Therapist | 12740 Ne 30th St, Bellevue, WA 98005-1606 | 2013-07-12 |
| 1699118976 | Angela L. Wyatt | Marriage & Family Therapist | 1406 Fort Crook Rd S Ste 401, Bellevue, NE 68005-2980 | 2013-04-16 |
| Find all providers in BELLEVUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.