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

Mr. Jerome Miranda Wicker

Individual provider Counselor · NPI 1811430408

Mr. Jerome Miranda Wicker is a Mental Health Counselor in Greenville, South Carolina. Qualified in 2001, 25 years ago. Practices with Oceanic Counseling Group LLC, a 41-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
25
In the registry since
2016
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Practice location Address checks out

124 Mallard St
Greenville, SC 29601-4046
Phone: (864) 241-1040
Fax: (864) 241-8189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1811430408
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 30, 2016
Last updated in NPPESNovember 30, 2016

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Oceanic Counseling Group Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Greenville