Wicks Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WICKS THERAPY

Practice address

3304 Croyden Ave
Kalamazoo, MI 49006-2079

Phone

(616) 805-4036

NPI assigned

Nov 7, 2018

Organization subpart

No

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

Authorized official

Name

Tracey Lee Wicks, LPCNPI 1639790207

Title

Counselor

Phone

(616) 805-4036

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracey Wicks

  • Professional Counselor
  • Kalamazoo, MI
  • NPI 1639790207

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1932677085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 CROYDEN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062079",
            "telephone_number": "616-805-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 CROYDEN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062079",
            "telephone_number": "616-805-4036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78 Centerbrook St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495486902",
            "country_code": "US",
            "telephone_number": "616-828-9723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WICKS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "WICKS",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "616-805-4036",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alysia Wiard
• Miriam Ruth Wiard, FNP
• Andrew Robert Wichterman, LPC
• Michelle Teresa Wiciak, MD
• Debra Ruth Wickman, LMSW
• Tracey Wicks
• Gail Marie Widener, NP
• Ashley Renee Widrig, OTR/L
• Margaret Wieberg
• Alexandria Wiegert

• Mental Health Counselor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.