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

NPI Status: Active since December 15, 2014

Contact Information

1675 E SEMINOLE ST
SUITE H-2
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 812-5263

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  • Individual
  • Male
  • Counselor
  • Professional

About PAUL WICKERSHAM

This page provides the complete NPI Profile along with additional information for Paul Wickersham, a provider established in Springfield, Missouri with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1497153977 assigned on December 2014. The practitioner's primary taxonomy code is 101YP2500X with license number 2002020617 (MO). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1497153977
Provider Name
PAUL WICKERSHAM M.S., L.P.C.
Gender
Male
Entity Type
Individual
Location Address
1675 E SEMINOLE ST SUITE H-2 SPRINGFIELD, MO 65804
Location Phone
(417) 812-5263
Mailing Address
PO BOX 496 WILLARD, MO 65781
Mailing Phone
(417) 234-4423
Is Sole Proprietor?
Yes
Enumeration Date
12-15-2014
Last Update Date
12-15-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
2002020617
License State
MO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497153977
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187256914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 2 + 5 + 6 + 9 + 1 + 4 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1497153977 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629253034INFINITE SENIOR HOME CARE LLC
Organization
Home Health1675 E SEMINOLE ST SUITE G-200
SPRINGFIELD, MO 65804
(417) 227-9977
1124194519MR. RUSSELL FOWLER D.C.
Individual
Chiropractor1675 E SEMINOLE ST SUITE H2
SPRINGFIELD, MO 65804
(417) 881-2295
1184447955PSYCH REVIVAL THERAPY LLC
Organization
Social Worker (Clinical)1675 E SEMINOLE ST
SPRINGFIELD, MO 65804
(970) 208-7791

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497153977, enumerated in the NPI registry as an "individual" on December 15, 2014

The provider is located at 1675 E Seminole St Suite H-2 Springfield, Mo 65804 and the phone number is (417) 812-5263

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

This NPI record was last updated on December 15, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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