Vicki C Stull, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

910 Issued in MT

Practice address

410 Central Ave
Suite 514
Great Falls, MT 59401-3154

Phone

(406) 870-1192

NPI assigned

Jun 30, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811926330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CENTRAL AVE",
            "address_2": "SUITE 514",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013154",
            "telephone_number": "406-870-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CENTRAL AVE",
            "address_2": "SUITE 514",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013154",
            "telephone_number": "406-870-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULL",
        "first_name": "VICKI",
        "middle_name": "C",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "910",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "3613",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE CROSS/BLUE S",
            "identifier": "744303",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA BLUE CROSS/BLUE S",
            "identifier": "744303",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0254932",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Stremcha, MS, CCC-SLP
• Holly C. Strong, M.D.
• Dustin R Stuart, DO
• Rachael Raeann Stubbs, LCSW
• Madalyn Marie Stucker
• Jaclyn Suden, LAC
• James Sullivan, DO
• Sun River Health and Rehab LLC
• Sun River Healthcare
• Elijah Logan Sundstrom, ACLC

• Professional Counselor in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.