PAUL WICKERSHAM M.S., L.P.C.
NPI 1497153977
Counselor - Professional in Springfield, MO

Active since December 15, 2014
1675 E SEMINOLE ST, SUITE H-2, SPRINGFIELD, MO 65804(417) 812-5263 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul Wickersham M.s., L.p.c. NPPES

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

PAUL WICKERSHAM M.S., L.P.C. (NPI 1497153977) is an individual professional provider in Springfield, Missouri, licensed in Missouri (2002020617) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1497153977
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NamePAUL WICKERSHAMCredential: M.S., L.P.C.
Location Address1675 E SEMINOLE ST, SUITE H-2Springfield, MO 65804-2490
Mailing AddressPo Box 496Willard, MO 65781-0496 · (417) 234-4423
Sole ProprietorYes
Enumeration DateDecember 15, 2014
NPI 1497153977 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 MO · 2002020617
1675 E SEMINOLE ST, Springfield, MO 65804

Other Providers at the Same Location NPPES 6

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

Chiropractor
1675 E SEMINOLE ST, SUITE H2
SPRINGFIELD, MO 65804
Social Worker (Clinical)
1675 E SEMINOLE ST
SPRINGFIELD, MO 65804
Home Health
1675 E SEMINOLE ST, SUITE G-200
SPRINGFIELD, MO 65804
Nurse Practitioner (Psychiatric/Mental Health)
1675 E SEMINOLE ST
SPRINGFIELD, MO 65804
Nurse Practitioner (Psychiatric/Mental Health)
1675 E SEMINOLE ST
SPRINGFIELD, MO 65804
Nurse Practitioner (Psychiatric/Mental Health)
1675 E SEMINOLE ST
SPRINGFIELD, MO 65804

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 Paul Wickersham's NPI number?

The NPI number for Paul Wickersham is 1497153977. It was assigned to this individual provider in the NPPES registry on December 15, 2014.

Where is Paul Wickersham located?

Paul Wickersham practices at 1675 E Seminole St Suite H-2, Springfield, MO 65804. The listed phone number is (417) 812-5263.

What is Paul Wickersham's specialty?

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

When was this NPI record last updated?

The NPPES record for Paul Wickersham was last updated on December 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.