Jacob Wickham, CMPSS
NPI 1376306183 · Addiction (Substance Use Disorder) Counselor · Campo, CA
Jacob Wickham, CMPSS is a Addiction (Substance Use Disorder) Counselor provider in Campo, CA (NPI 1376306183).
Provider details
- NPI number
- 1376306183
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CMPSS
- Sex
- Male
- Sole proprietor
- No
- License
- R1536221123 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-02-05
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Frequently asked questions
- What is Jacob Wickham's NPI number?
- Jacob Wickham's National Provider Identifier (NPI) is 1376306183, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Wickham's specialty?
- Jacob Wickham is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Jacob Wickham located?
- Jacob Wickham's practice location on file with NPPES is 1777 Buckman Springs Rd, Campo, CA 91906-2022.
- What is Jacob Wickham's phone number?
- The practice phone number listed in the NPPES registry for Jacob Wickham is (619) 478-5696.
- Is Jacob Wickham's NPI active?
- Yes — Jacob Wickham's NPI (1376306183) is active in the NPPES registry as of the last update on 2025-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.