MRS. JILL JANAE WICKERSHAM MS IN MARRIAGE AND F
NPI 1477682235
Marriage & Family Therapist in Campbell, CA
About Mrs. Jill Janae Wickersham Ms In Marriage And F NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JILL JANAE WICKERSHAM MS IN MARRIAGE AND F (NPI 1477682235) is an individual marriage & family therapist in Campbell, California, licensed in California (44905) and active in the NPI registry since March 2007. She has opted out of Medicare through January 31, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Jill Janae Wickersham Ms In Marriage And F has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 31, 2024 through January 31, 2028.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CAMPBELL, CA 95008
CAMPBELL, CA 95008
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 Jill Wickersham's NPI number?
The NPI number for Jill Wickersham is 1477682235. It was assigned to this individual provider in the NPPES registry on March 5, 2007. The provider is also known as Ms. Jill Janae Mccann Ms In Marriage And F.
Where is Jill Wickersham located?
Jill Wickersham practices at 1600 W Campbell Ave Ste 201, Campbell, CA 95008. The listed phone number is (408) 871-4908.
What is Jill Wickersham's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Jill Wickersham enrolled in Medicare?
No. Jill Wickersham has opted out of Medicare through January 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jill Wickersham was last updated on November 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Jill Janae Wickersham, MS IN MARRIAGE AND F · NPI 1477682235
Marriage & Family Therapist provider in Campbell, California. Individual provider, active in the CMS NPPES registry since March 5, 2007.
## Identity
- **NPI:** 1477682235 (Entity type: Individual)
- **Enumerated:** March 5, 2007
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 44905 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1600 W CAMPBELL AVE STE 201, Campbell, CA 95008-1526
- **Phone:** (408) 871-4908 · **Fax:** (408) 871-4903
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 31, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** November 30, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1477682235) · Data from the CMS NPPES public registry.