Individual provider Active NPI

Joel Stocker Willis, LCPC

  • Professional Counselor
  • Great Falls, MT
National Provider Identifier
1962259242
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-64911 Issued in MT
Practice address
915 1St Ave S
Great Falls, MT 59401-3705
Phone
(540) 685-0187
NPI assigned
May 3, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X BBH-LCPC-LIC-64911 MT Primary

Addresses

Primary practice location

915 1St Ave S
Great Falls, MT 59401-3705

Mailing address

2116 7TH Ave N
Great Falls, MT 59401-1838
Phone (540) 685-0187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240604003791 MT Practitioner - Mental Health Counselor 9931641032 Reassigns benefits to 1 organization
I20250317002262 TX Practitioner - Mental Health Counselor 9931641032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian Family Health Clinic of Great Falls IncGroup PAC ID 4082522719, 7 clinicians

Practice addresses (Care Compare)

1220 Central Ave
Great Falls, MT 59401-3783

1220 Central Ave
Suite 28
Great Falls, MT 59401-3764
Phone (406) 268-1510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCPC-LIC-64911MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Family Counseling Services, LLC Single Specialty CurrentSince Jun 13, 2024 Accepting new patients
Indian Family Health Clinic of Great Falls Inc Single Specialty CurrentSince Mar 10, 2025 Accepting new patients

Locations

1220 Central Ave
Ste 28
Great Falls, MT 59401
Phone (406) 268-1510

1220 Central Ave
Great Falls, MT 59401
Phone (406) 268-1510

712 13th St S
Great Falls, MT 59405
Phone (406) 761-4150

1220 Central Ave
Ste 1-B
Great Falls, MT 59401
Phone (406) 268-1572

Organizations & group practices 2

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": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1962259242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 7TH AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594011838",
            "telephone_number": "540-685-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 1ST AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013705",
            "telephone_number": "540-685-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JOEL",
        "middle_name": "STOCKER",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-64911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.