MEDICARE: JAMIE STOCKER LCPC, ATR, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1932057858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMIE STOCKER LCPC, ATR, PLLC

Provider Business Mailing Address
First Line	:	415 N HIGGINS AVE STE 1
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59802-4559
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 N HIGGINS AVE STE 1
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59802-4559
Country	:	US
Telephone Number	:	406-381-1953
Fax Number	:

Authorized Official
Title or Position	:	ART THERAPIST
Name	:	JAMIE L. STOCKER
Credential	:	LCPC, ATR
Telephone Number	:	406-381-1953

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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