Jacob Christian Wickham, CMPSS
Jacob Christian Wickham is a Addiction (Substance Use Disorder) Counselor provider (Counselor) practicing in Campo, CA, registered in the NPPES registry with NPI 1376306183 since 2024. Practices at San Diego Freedom Ranch, Inc. (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1376306183 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jacob Christian Wickham |
| Credential | CMPSS |
| Sex | Male |
| Practice address | 1777 BUCKMAN SPRINGS RD, Campo, CA, 91906 |
| Phone | 6194785696 |
| Fax | 6194782404 |
| Enumeration date | 2024-02-05 |
| Last updated in NPPES | 2025-12-17 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Primary | R1536221123 | CA |
| 175T00000X | Peer Specialist | Secondary | MPSS-ZWRITX | CA |
Copy-ready billing details
Provider: Jacob Wickham, CMPSS NPI: 1376306183 Taxonomy: 101YA0400X (Addiction (Substance Use Disorder) Counselor) Address: 1777 BUCKMAN SPRINGS RD, Campo, CA, 91906
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1093937591 | San Diego Freedom Ranch, Inc. | Organization | Substance Abuse Rehabilitation Facility | Campo, CA |
| 1477039667 | Frederick Grubstad | Individual | Psychiatric/Mental Health Nurse Practitioner | Campo, CA |
| 1629554803 | Gerald Shirey | Individual | Addiction (Substance Use Disorder) Counselor | Campo, CA |
| 1639655665 | Michael Huffaker | Individual | Addiction (Substance Use Disorder) Counselor | Campo, CA |
| 1306323381 | Patrick Ridge | Individual | Marriage & Family Therapist | Campo, CA |
| 1588141527 | Michael Dehamm | Individual | Addiction (Substance Use Disorder) Counselor | Campo, CA |
| 1568921112 | James Nourie | Individual | Addiction (Substance Use Disorder) Counselor | Campo, CA |
| 1467911016 | Richard Shaplin | Individual | Addiction (Substance Use Disorder) Counselor | Campo, CA |
Verify this record
Cross-check NPI 1376306183 against the authoritative CMS record: view Jacob Christian Wickham on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-12-17.