KRISTEN WICANDER MS NPI 1912512690

NPI Information

  • NPI: 1912512690
  • Provider Name: KRISTEN WICANDER, MS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 400 RESERVOIR AVE STE 2C
    PROVIDENCE, RI
    ZIP 02907
  • Phone: (401) 203-3068

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NPI Details

Kristen Wicander, MS is a mental health counselor in Providence, RI. Kristen Wicander, MS NPI is 1912512690. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 RESERVOIR AVE STE 2C
PROVIDENCE, RI
ZIP 02907-595
Phone: (401) 203-3068

The enumeration date for this NPI number is 9/10/2020 and was last updated on 9/11/2024.

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
1101YM0800XCounselorMental HealthMHC01703RHODE ISLANDYes

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

NPI Synchronization or Removal

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