KJIRSTYN LEE WICKLUND MA, LPC
NPI 1255875829
Counselor - Professional in Mankato, MN

Active since December 15, 2016
44 GOOD COUNSEL DR, MANKATO, MN 56001(800) 438-1772(262) 345-5562 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2020, Dec 15, 2016 (2 updates tracked since 2016).

About Kjirstyn Lee Wicklund Ma, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KJIRSTYN LEE WICKLUND MA, LPC (NPI 1255875829) is an individual professional provider in Mankato, Minnesota, licensed in Minnesota (2014) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1255875829
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKJIRSTYN LEE WICKLUNDCredential: MA, LPC
Location Address44 GOOD COUNSEL DRMankato, MN 56001-6599
Mailing AddressW175n11120 Stonewood DrGermantown, WI 53022-6511 · (800) 438-1772 · Fax (262) 293-9737
Fax(262) 345-5562
Sole ProprietorNo
Enumeration DateDecember 15, 2016
Last NPPES UpdateFebruary 27, 20202 updates tracked since enumeration
NPI 1255875829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in MN · 2014 Licensed in MN · 01933
44 GOOD COUNSEL DR, Mankato, MN 56001

Other Names 1

Other Name (5)Kjristyn Birkholz

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
44 GOOD COUNSEL DR
MANKATO, MN 56001
Counselor (Professional)
44 GOOD COUNSEL DR
MANKATO, MN 56001
Behavior Technician
44 GOOD COUNSEL DR
MANKATO, MN 56001
Counselor (Addiction (Substance Use Disorder))
44 GOOD COUNSEL DR
MANKATO, MN 56001
Counselor (Professional)
44 GOOD COUNSEL DR
MANKATO, MN 56001
Counselor (Professional)
44 GOOD COUNSEL DR
MANKATO, MN 56001
Social Worker (Clinical)
44 GOOD COUNSEL DR
MANKATO, MN 56001
Marriage & Family Therapist
44 GOOD COUNSEL DR
MANKATO, MN 56001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kjirstyn Wicklund's NPI number?

The NPI number for Kjirstyn Wicklund is 1255875829. It was assigned to this individual provider in the NPPES registry on December 15, 2016. The provider is also known as Kjristyn Birkholz.

Where is Kjirstyn Wicklund located?

Kjirstyn Wicklund practices at 44 Good Counsel Dr, Mankato, MN 56001. The listed phone number is (800) 438-1772.

What is Kjirstyn Wicklund's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kjirstyn Wicklund was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.