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NICOLAI WALLACE
NPI 1750736641
Marriage & Family Therapist in St Louis Park, MN

Active since April 27, 2016
5407 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416(612) 710-8910 Get Directions Write a Review

NPPES record last updated: April 27, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicolai Wallace NPPES

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

NICOLAI WALLACE (NPI 1750736641) is an individual marriage & family therapist in St Louis Park, Minnesota and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1750736641
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameNICOLAI WALLACE
Location Address5407 EXCELSIOR BLVDSt Louis Park, MN 55416-2929
Mailing Address5407 Excelsior BlvdSt Louis Park, MN 55416-2929
Phone(612) 710-8910
Sole ProprietorNo
Enumeration DateApril 27, 2016
✔ NPI 1750736641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
5407 EXCELSIOR BLVD, St Louis Park, MN 55416
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Accepted Insurance

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

Other Providers at the Same Location NPPES 19

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

TRISHA R. WITMER M.A. LMFT
Counselor (Mental Health)
5407 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Hennepin County (922) 161-2283
MS. SENECA JUNE KRUEGER B.A.
Marriage & Family Therapist
5407 EXCELSIOR BLVD, SUITE B
SAINT LOUIS PARK, MN 55416
Hennepin County (612) 275-2974
GREENBERG CHIROPRACTIC CARE LLC
Chiropractor
5407 EXCELSIOR BLVD, SUITE D
ST LOUIS PK, MN 55416
Hennepin County (952) 920-9247
DR. BERNARD BORKON D.D.S.
Dentist (General Practice)
5407 EXCELSIOR BLVD, SUITE C
ST LOUIS PARK, MN 55416
Hennepin County (952) 922-2002
SHELLEY R KREIBICH MA
Counselor (Mental Health)
5407 EXCELSIOR BLVD, SUITE B
ST LOUIS PARK, MN 55416
Hennepin County (612) 867-5452
MS. SARA ANNE COSGROVE MA, LMFT, LPC
Marriage & Family Therapist
5407 EXCELSIOR BLVD, SUITE B
ST LOUIS PARK, MN 55416
Hennepin County (952) 920-9332
THERAPY TODAY AND TOMORROW INC.
Marriage & Family Therapist
5407 EXCELSIOR BLVD, SUITE B
ST LOUIS PARK, MN 55416
Hennepin County (612) 483-4994
SHAUNA FENSKE MA
Marriage & Family Therapist
5407 EXCELSIOR BLVD, SUITE A, B, AND E
ST LOUIS PARK, MN 55416
Hennepin County (612) 787-2832

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 Nicolai Wallace's NPI number?

The NPI number for Nicolai Wallace is 1750736641. It was assigned to this individual provider in the NPPES registry on April 27, 2016.

Where is Nicolai Wallace located?

Nicolai Wallace practices at 5407 Excelsior Blvd, St Louis Park, MN 55416. The listed phone number is (612) 710-8910.

What is Nicolai Wallace's specialty?

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

What insurance does Nicolai Wallace accept?

Health plans from HealthPartners list Nicolai Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicolai Wallace was last updated on April 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.