Lakecia Wilkinson, PA-C

Key facts

NPI

1497876981

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

295277-1206 (UT)

Practice address

236 S 100 E
Richfield, UT 84701-2644

Phone

(435) 896-8236

Fax

(435) 637-9141

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Utah Counseling Center Counselor · Ephraim, UT · NPI 1639185424
  Medicare reassignment Care Compare group NPD UT
• Four Corners Community Behavioral Health, Inc. Community/Behavioral Health Agency · Price, UT · NPI 1487715330
  Medicare reassignment Care Compare group NPD UT
• Four Corners Community Behavioral Health Inc Methadone Clinic · Price, UT · NPI 1164048492
  Care Compare group

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Central Utah Counseling Center (21 clinicians)
Four Corners Community Behavioral Health Inc (21 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 7, 2025.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1497876981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 N 400 W",
            "city": "EPHRAIM",
            "state": "UT",
            "postal_code": "846275549",
            "telephone_number": "435-283-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 S 100 E",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012644",
            "telephone_number": "435-896-8236",
            "fax_number": "435-637-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "LAKECIA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "295277-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Richfield, UT · Physician Assistant in Utah