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TINA WICKERSHAM LMHC TEMP
NPI 1982159125
Counselor - Mental Health in Sioux City, IA

Active since August 17, 2016
4323 VINE AVE, SIOUX CITY, IA 51106(712) 202-0777(712) 202-0780 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tina Wickersham Lmhc Temp NPPES

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

TINA WICKERSHAM LMHC TEMP (NPI 1982159125) is an individual mental health provider in Sioux City, Iowa, licensed in Iowa (084138) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1982159125
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTINA WICKERSHAMCredential: LMHC TEMP
Location Address4323 VINE AVESioux City, IA 51106-1958
Mailing Address4323 Vine AveSioux City, IA 51106-1958 · (712) 202-0777 · Fax (712) 202-0780
Phone(712) 202-0777
Fax(712) 202-0780
Sole ProprietorNo
Enumeration DateAugust 17, 2016
✔ NPI 1982159125 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 IA · 084138
4323 VINE AVE, Sioux City, IA 51106
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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 Tina Wickersham's NPI number?

The NPI number for Tina Wickersham is 1982159125. It was assigned to this individual provider in the NPPES registry on August 17, 2016.

Where is Tina Wickersham located?

Tina Wickersham practices at 4323 Vine Ave, Sioux City, IA 51106. The listed phone number is (712) 202-0777.

What is Tina Wickersham's specialty?

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

When was this NPI record last updated?

The NPPES record for Tina Wickersham was last updated on August 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.