KATHY WICKERSHAM
NPI 1912156431
Counselor - Mental Health in Millcreek, UT
About Kathy Wickersham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHY WICKERSHAM (NPI 1912156431) is an individual mental health provider in Millcreek, Utah, licensed in Utah (10570331-6004) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathy Wickersham 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.
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.
MILLCREEK, UT 84106
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 Kathy Wickersham's NPI number?
The NPI number for Kathy Wickersham is 1912156431. It was assigned to this individual provider in the NPPES registry on September 9, 2008. The provider is also known as Kathy Holthus.
Where is Kathy Wickersham located?
Kathy Wickersham practices at 1398 E Luck Ln, Millcreek, UT 84106. The listed phone number is (801) 251-6767.
What is Kathy Wickersham's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kathy Wickersham enrolled in Medicare?
Yes. Kathy 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.
What insurance does Kathy Wickersham accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Kathy 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 Kathy Wickersham was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kathy Wickersham · NPI 1912156431
Mental Health provider in Millcreek, Utah. Individual provider, active in the CMS NPPES registry since September 9, 2008.
## Identity
- **NPI:** 1912156431 (Entity type: Individual)
- **Enumerated:** September 9, 2008
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 10570331-6004 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1398 E LUCK LN, Millcreek, UT 84106-2944
- **Phone:** (801) 251-6767
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** September 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1912156431) · Data from the CMS NPPES public registry.