JENNIFER L WICKHAM LPC
NPI 1215987847
Counselor - Professional in Eau Claire, WI

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
2005 HIGHLAND AVE STE B, EAU CLAIRE, WI 54701(866) 559-3060 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 26, 2025, Jan 25, 2021, Feb 15, 2019 and 1 more (4 updates tracked since 2017).

About Jennifer L Wickham Lpc NPPES

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

JENNIFER L WICKHAM LPC (NPI 1215987847) is an individual professional provider in Eau Claire, Wisconsin, licensed in Wisconsin (3079) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1215987847
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER L WICKHAMCredential: LPC
Location Address2005 HIGHLAND AVE STE BEau Claire, WI 54701-4390
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 12, 2006
Last NPPES UpdateFebruary 26, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1215987847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 3079
2005 HIGHLAND AVE STE B, Eau Claire, WI 54701

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer L Wickham Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567805625
PECOS Enrollment IDI20240206003566
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 Reassignment

Medicare enrollment records show Jennifer Wickham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
201 MAIN ST STE 500
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Nystrom & Associates Counseling Wi Sc
  • 133 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2005 HIGHLAND AVE STE B
EAU CLAIRE, WI 54701
Counselor (Professional)
2005 HIGHLAND AVE STE B
EAU CLAIRE, WI 54701

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 Jennifer Wickham's NPI number?

The NPI number for Jennifer Wickham is 1215987847. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Jennifer Wickham located?

Jennifer Wickham practices at 2005 Highland Ave Ste B, Eau Claire, WI 54701. The listed phone number is (866) 559-3060.

What is Jennifer Wickham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennifer Wickham enrolled in Medicare?

Yes. Jennifer Wickham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jennifer Wickham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Wickham reassigns Medicare benefits to Nystrom & Associates Counseling Wi., S.C. (La Crosse, WI). The 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 Jennifer Wickham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Wickham accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners, Medica and Quartz and 2 other insurers list Jennifer Wickham 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 Jennifer Wickham was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.