KEVIN WICKER LMHC
NPI 1124183116
Counselor - Mental Health in Watertown, MA

Q: What is Kevin Wicker's NPI number?

The NPI number for Kevin Wicker is 1124183116. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Q: What is Kevin Wicker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Wicker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 27, 2006PECOS Enrolled

8 BENNETT RD, WATERTOWN, MA 02472(617) 926-2638 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kevin Wicker Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN WICKER LMHC (NPI 1124183116) is an individual mental health provider in Watertown, Massachusetts, licensed in Massachusetts (5171) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124183116

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameKEVIN WICKERCredential: LMHC

Location Address8 BENNETT RDWatertown, MA 02472-3133

Mailing Address8 Bennett RdWatertown, MA 02472-3133 · (617) 926-2638

Phone(617) 926-2638

Sole ProprietorYes

Enumeration DateDecember 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1124183116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MA · 5171

8 BENNETT RD, Watertown, MA 02472

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Wicker Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kevin Wicker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health Specialty Group PA

604 mi

Mental Health

110 N CORCORAN ST FL 5
Durham, NC 27701

Reassigned Medicare billing, Massachusetts enrollment
78 clinicians in this Medicare group

NPI 1801472634 (323) 205-7088

Sondermind Provider Network LLC

1,763 mi

Clinical

1738 WYNKOOP ST STE 303
Denver, CO 80202

Reassigned Medicare billing, Massachusetts enrollment
94 clinicians in this Medicare group

NPI 1760854442 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Wicker's NPI number?

The NPI number for Kevin Wicker is 1124183116. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Kevin Wicker located?

Kevin Wicker practices at 8 Bennett Rd, Watertown, MA 02472. The listed phone number is (617) 926-2638.

What is Kevin Wicker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kevin Wicker enrolled in Medicare?

Yes. Kevin Wicker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kevin Wicker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Wicker reassigns Medicare benefits to 2 organizations: Mental Health Specialty Group PA (Durham, NC) and Sondermind Provider Network LLC (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Wicker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Wicker accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Kevin Wicker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Wicker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.