Kurt Austin Wical, PH.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1357 Issued in MN

Practice address

3499 Lexington Ave N
Suite 100
Saint Paul, MN 55126-7055

Phone

(651) 486-4828

Fax

(651) 482-9119

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 26, 2025 through Feb 26, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MN Couple Therapy Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roseville, MN
  • NPI 1770912271
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124181656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 LEXINGTON AVE N",
            "address_2": "SUITE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551267055",
            "telephone_number": "651-486-4828",
            "fax_number": "651-482-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 LEXINGTON AVE N",
            "address_2": "SUITE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551267055",
            "telephone_number": "651-486-4828",
            "fax_number": "651-482-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICAL",
        "first_name": "KURT",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PERSONAL ID",
            "identifier": "525K5WI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH PIN",
            "identifier": "6190551",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID",
            "identifier": "523K5WI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS PIN",
            "identifier": "HP53169",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abby K Wiberg, CPNP
• James J Wiberg, MD
• Thomas Andrew Wiberg, M.D.
• Dena Diane Wiblishauser
• Beverly S Wical, MD
• Wicare Homecare Services
• Mark Allen Wick, LPCC
• Noah Wick, MD
• Paul T Wicklund, MD
• Sarah K Wicks, PHD LP

• Marriage & Family Therapist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.