Robert Wickersham, M.A., R.P.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0017507 Issued in CO

Practice address

357 McCaslin Blvd Ste 200
Louisville, CO 80027-2932

Phone

(303) 946-4914

NPI assigned

Jul 21, 2020

Reactivated

Oct 29, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Eclipse Integrative Therapy LLC

  • Professional Counselor
  • Boulder, CO
  • NPI 1598447260
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1710595251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 MCCASLIN BLVD STE 200",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 MCCASLIN BLVD STE 200",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272932",
            "telephone_number": "303-946-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKERSHAM",
        "first_name": "ROBERT",
        "credential": "M.A., R.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2025-10-29",
        "certification_date": "2021-10-14",
        "deactivation_date": "2025-10-15",
        "reactivation_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0017507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica White, PA-C
• Katherine Jade White, DNP, PMHNP-BC
• Shayna Brody Whitehouse, PH.D.
• Wholly Healing Therapy LLC
• Wholly Healing Therapy LLC
• Holly Jensen Widmar, LCSW
• Hans Wiik, RPH
• Wild & Woven Therapy LLC
• Valerie Willhoit
• Jeremy David Williams, DMD

• Professional Counselor in Louisville, CO
• Providers in Louisville, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.