Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jacob Christian Wickham, CMPSS

Addiction (Substance Use Disorder) Counselor in Campo, CA · enumerated 2024 · practices at San Diego Freedom Ranch, Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376306183

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Registry record

Entity type Individual (Type 1)

Name Jacob Christian Wickham

Credential CMPSS

Sex Male

Practice address 1777 Buckman Springs Rd, Campo, CA, 91906

Phone (619) 478-5696

Fax (619) 478-2404

Enumeration date Feb 5, 2024

Last updated in NPPES Dec 17, 2025

Taxonomy & licenses

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License R1536221123 (CA) Primary

175T00000X Peer Specialist Other Service Providers · License MPSS-ZWRITX (CA) Secondary

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.

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Frequently asked questions

Where does Jacob Wickham practice?

The practice location on file with NPPES is in Campo, CA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Jacob Wickham?

The National Provider Identifier (NPI) for Jacob Wickham is 1376306183, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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San Diego Freedom Ranch, Inc. Substance Abuse Rehabilitation Facility · Campo, CA NPI 1093937591 Frederick Grubstad Psychiatric/Mental Health Nurse Practitioner · Campo, CA NPI 1477039667 Gerald Shirey Addiction (Substance Use Disorder) Counselor · Campo, CA NPI 1629554803 Michael Huffaker Addiction (Substance Use Disorder) Counselor · Campo, CA NPI 1639655665 Patrick Ridge Marriage & Family Therapist · Campo, CA NPI 1306323381 Michael Dehamm Addiction (Substance Use Disorder) Counselor · Campo, CA NPI 1588141527 James Nourie Addiction (Substance Use Disorder) Counselor · Campo, CA NPI 1568921112 Richard Shaplin Addiction (Substance Use Disorder) Counselor · Campo, CA NPI 1467911016

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-17.