Individual provider Active NPI

Julienne Reid Stickney, LCPC

  • Mental Health Counselor
  • Missoula, MT
National Provider Identifier
1356888069
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
22757 Issued in MT
Practice address
410 Expressway Ste C
Missoula, MT 59808-1537
Phone
(406) 544-8559
NPI assigned
Jan 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 22757 MT Primary

Addresses

Primary practice location

410 Expressway Ste C
Missoula, MT 59808-1537

Mailing address

PO Box 3734
Missoula, MT 59806-3734
Phone (406) 544-8559

Other practice location 1

405 Brooklyn St
Superior, MT 59872-9607
Phone (406) 822-4278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22757MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nesting Communities Counseling and Art Therapy PLLC Current Accepting new patients

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": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1356888069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3734",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598063734",
            "telephone_number": "406-544-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 EXPRESSWAY STE C",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081537",
            "telephone_number": "406-544-8559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Brooklyn St",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "MT",
            "postal_code": "598729607",
            "country_code": "US",
            "telephone_number": "406-822-4278",
            "fax_number": "406-258-4732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID STICKNEY",
        "first_name": "JULIENNE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "22757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.