Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michelle M Wickersham, CMHC

Individual provider Mental Health Counselor · NPI 1275007338

Michelle M Wickersham, CMHC is a Mental Health Counselor in Layton, Utah. Qualified in 2016, 10 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
10
Licensed in
UT
In the registry since
2019

Practice location Address checks out

476 Heritage Park Blvd Ste 220
Layton, UT 84041-5679
Phone: (801) 554-0006
Fax: (801) 899-7793
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4455 S 700 E Ste 300, Millcreek, UT 84107-3076 — (801) 899-9492

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 9012474-6004 (UT)

Record details

NPI number1275007338
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMHC
Sole proprietorNo
NPI enumeratedJanuary 11, 2019
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Layton