Active NPI
Tonica Wicker, LMHC
- Mental Health Counselor
- Edmond, OK
National Provider Identifier
1003207705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60461035
- Practice address
- 5018 Pheasant Crest Rd
Edmond, OK 73034-9205 - Phone
- (808) 292-4919
- NPI assigned
- Feb 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11983 | OK | |
| Mental Health Counselor | 101YM0800X | TPMC3197 | FL | |
| Professional Counselor | 101YP2500X | LH60461035 | WA | |
| Mental Health Counselor | 101YM0800X | LH60461035 | WA | Primary |
Addresses
Primary practice location
5018 Pheasant Crest Rd
Edmond, OK 73034-9205
Mailing address
5018 Pheasant Crest Rd
Edmond, OK 73034-9205
Phone (808) 292-4919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TPMC3197 | FL | MD | Mental Health Counselor |
| 11983 | OK | MD | Mental Health Counselor |
| LH60461035 | WA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1003207705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5018 PHEASANT CREST RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730349205",
"telephone_number": "808-292-4919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5018 PHEASANT CREST RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730349205",
"telephone_number": "808-292-4919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKER",
"first_name": "TONICA",
"name_prefix": "Dr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-17",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "11983",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "TPMC3197",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "LH60461035",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60461035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.