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MICHELLE M WICKERSHAM CMHC
NPI 1275007338
Counselor - Mental Health in Layton, UT

Active since January 11, 2019PECOS EnrolledAccepts Medicare Assignment
476 HERITAGE PARK BLVD STE 220, LAYTON, UT 84041(801) 554-0006(801) 899-7793 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 11, 2025, Aug 2, 2024, Jan 11, 2019 (3 updates tracked since 2019).

About Michelle M Wickersham Cmhc NPPES

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

MICHELLE M WICKERSHAM CMHC (NPI 1275007338) is an individual mental health provider in Layton, Utah, licensed in Utah (9012474-6004) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Millcreek, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1275007338
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICHELLE M WICKERSHAMCredential: CMHC
Location Address476 HERITAGE PARK BLVD STE 220Layton, UT 84041-5679
Mailing Address1084 Weaver LnLayton, UT 84041-3514 · (801) 554-0006 · Fax (801) 899-7793
Phone(801) 554-0006
Fax(801) 899-7793
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 11, 2019
Last NPPES UpdateJuly 11, 20253 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
✔ NPI 1275007338 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 UT · 9012474-6004
476 HERITAGE PARK BLVD STE 220, Layton, UT 84041
Open in Google Maps ↗

Other Names 1

Other Name (5)Micky M Wickersham Cmhc

Secondary Practice Location 1

Location 14455 S 700 E Ste 300Millcreek, UT 84107-3076 · Phone (801) 899-9492 · Fax (801) 899-7793

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Michelle M Wickersham Cmhc 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 ID3274072509
PECOS Enrollment IDI20240829003252
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 Michelle Wickersham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lampstand Counseling Services LLC
Same address
Mental Health
476 HERITAGE PARK BLVD STE 200
Layton, UT 84041
  • Reassigned Medicare billing, Utah enrollment
NPI 1013899707 (801) 899-9492

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 7

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

KORTNEY LYNNE JENSEN
Social Worker (Clinical)
476 HERITAGE PARK BLVD STE 220
LAYTON, UT 84041
Davis County (801) 425-0227
KARISSA LORDS KECK
Social Worker (Clinical)
476 HERITAGE PARK BLVD STE 220
LAYTON, UT 84041
Davis County (801) 425-0227
INSIGHT SOLUTIONS
Counselor
476 HERITAGE PARK BLVD STE 220
LAYTON, UT 84041
Davis County (801) 784-7356
JESSIE ANNA JEAN WHITNACK-DAVIDSON
Social Worker (Clinical)
476 HERITAGE PARK BLVD STE 220
LAYTON, UT 84041
Davis County (801) 425-0227
JODI CHRISTINE WALKER LCMHC
Counselor (Mental Health)
476 HERITAGE PARK BLVD STE 220
LAYTON, UT 84041
Davis County (801) 784-7356
JENNIFER STEELE CHRISTENSEN CSW
Social Worker (Clinical)
476 HERITAGE PARK BLVD STE 220
LAYTON, UT 84041
Davis County (801) 425-0227
MINDY CELLI
Social Worker (Clinical)
476 HERITAGE PARK BLVD STE 220
LAYTON, UT 84041
Davis County (801) 425-0227

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 Michelle Wickersham's NPI number?

The NPI number for Michelle Wickersham is 1275007338. It was assigned to this individual provider in the NPPES registry on January 11, 2019. The provider is also known as Micky M Wickersham Cmhc.

Where is Michelle Wickersham located?

Michelle Wickersham practices at 476 Heritage Park Blvd Ste 220, Layton, UT 84041. The listed phone number is (801) 554-0006.

What is Michelle Wickersham's specialty?

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

Is Michelle Wickersham enrolled in Medicare?

Yes. Michelle Wickersham 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 Michelle Wickersham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Wickersham reassigns Medicare benefits to Lampstand Counseling Services LLC (Layton, UT). 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 Michelle Wickersham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Wickersham accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Michelle Wickersham 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 Michelle Wickersham was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.