JEANNE MARIE WICKHAM LPC LAC NPI 1265940696

NPI Information

  • NPI: 1265940696
  • Provider Name: JEANNE MARIE WICKHAM, LPC, LAC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 3225 TEMPLETON GAP RD STE 111
    COLORADO SPRINGS, CO
    ZIP 80907
  • Phone: (719) 351-9656

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NPI Details

Jeanne Marie Wickham, LPC, LAC is a mental health counselor in Colorado Springs, CO. Jeanne Marie Wickham, LPC, LAC NPI is 1265940696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3225 TEMPLETON GAP RD STE 111
COLORADO SPRINGS, CO
ZIP 80907-729
Phone: (719) 351-9656

The enumeration date for this NPI number is 1/19/2018 and was last updated on 3/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)ACD.0001464COLORADONo
2101YM0800XCounselorMental HealthLPC.0017285COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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