KATHRYN WICKMAN
NPI 1487042974
Counselor - Professional in Lakewood, CO

Active since January 06, 2015PECOS Enrolled
3595 S TELLER ST, LAKEWOOD, CO 80235(303) 425-0030 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kathryn Wickman NPPES

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

KATHRYN WICKMAN (NPI 1487042974) is an individual professional provider in Lakewood, Colorado, licensed in Colorado (LPC.0014096) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1487042974
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHRYN WICKMAN
Location Address3595 S TELLER STLakewood, CO 80235-2014
Mailing Address4851 Independence St, Suite 200Wheat Ridge, CO 80033-6715 · (303) 425-0030
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 6, 2015
Last NPPES UpdateMay 5, 2021
NPPES CertifiedMay 5, 2021
✔ NPI 1487042974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0014096
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3595 S TELLER ST, Lakewood, CO 80235

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Wickman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294224804
PECOS Enrollment IDI20251031004186
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 Kathryn Wickman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
4851 INDEPENDENCE ST
Wheat Ridge, CO 80033
  • Reassigned Medicare billing, Colorado enrollment
  • 276 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 20

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

Counselor (Professional)
3595 S TELLER ST
LAKEWOOD, CO 80235
Counselor (Professional)
3595 S TELLER ST
LAKEWOOD, CO 80235
Psychologist
3595 S TELLER ST, SUITE 310
LAKEWOOD, CO 80235
Marriage & Family Therapist
3595 S TELLER ST
LAKEWOOD, CO 80235
Counselor (Professional)
3595 S TELLER ST
LAKEWOOD, CO 80235
Counselor (Professional)
3595 S TELLER ST
LAKEWOOD, CO 80235
Counselor (Professional)
3595 S TELLER ST
LAKEWOOD, CO 80235
Counselor (Professional)
3595 S TELLER ST
LAKEWOOD, CO 80235

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 Kathryn Wickman's NPI number?

The NPI number for Kathryn Wickman is 1487042974. It was assigned to this individual provider in the NPPES registry on January 6, 2015.

Where is Kathryn Wickman located?

Kathryn Wickman practices at 3595 S Teller St, Lakewood, CO 80235. The listed phone number is (303) 425-0030.

What is Kathryn Wickman's specialty?

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

Is Kathryn Wickman enrolled in Medicare?

Yes. Kathryn Wickman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathryn Wickman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Wickman reassigns Medicare benefits to Jefferson Center For Mental Health (Wheat Ridge, CO). 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 Kathryn Wickman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Wickman accept?

Health plans from Oscar Insurance Company and Select Health list Kathryn Wickman 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 Kathryn Wickman was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.