NICOLE WICKLUND MA, LMFT
NPI 1619337144
Marriage & Family Therapist in Edina, MN

Q: What is Nicole Wicklund's NPI number?

The NPI number for Nicole Wicklund is 1619337144. It was assigned to this individual provider in the NPPES registry on February 25, 2016.

Q: What is Nicole Wicklund's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Wicklund was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 25, 2016PECOS EnrolledAccepts Medicare Assignment

4510 77TH ST W, EDINA, MN 55435(651) 434-9233 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2024, Feb 25, 2016 (2 updates tracked since 2016).

On this page

About Nicole Wicklund Ma, Lmft NPPES

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

NICOLE WICKLUND MA, LMFT (NPI 1619337144) is an individual marriage & family therapist in Edina, Minnesota, licensed in Minnesota (3221) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1619337144

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameNICOLE WICKLUNDCredential: MA, LMFT

Location Address4510 77TH ST WEdina, MN 55435-5505

Mailing Address911 W 45th StMinneapolis, MN 55419-4726 · (651) 434-9233

Phone(651) 434-9233

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateFebruary 25, 2016

Last NPPES UpdateMay 7, 20242 updates tracked since enumeration

NPPES CertifiedMay 7, 2024

✔ NPI 1619337144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 3221

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

4510 77TH ST W, Edina, MN 55435

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Wicklund Ma, Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092246629

PECOS Enrollment IDI20241007000862

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

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

JESSICA BELDEN

Registered Nurse (Psychiatric/Mental Health)