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

Tod Wickersham, FNLP, CFNC, OM

Individual provider Pastoral Counselor · NPI 1194465104

Tod Wickersham, FNLP, CFNC, OM is a Pastoral Counselor in Verona, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3

Practice location Address checks out

9206 Ashworth Dr
Verona, WI 53593-9196
Phone: (202) 322-2267
Show map & directions

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

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X
Pastoral Counselor Taxonomy 101YP1600X
Health Educator Taxonomy 174H00000X

Record details

NPI number1194465104
Entity typeIndividual (Type 1)
GenderMale
Credentials FNLP , CFNC , OM
Sole proprietorNo
NPI enumeratedMarch 29, 2022
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022