NPIMap

Organization Active NPI

Wikelius Counseling & Supervision, Inc.

Doing business as Ampersand Psychological Services

  • Community/Behavioral Health Agency
  • Mora, MN
National Provider Identifier
1255081402
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WIKELIUS COUNSELING & SUPERVISION, INC.
Doing business as
Ampersand Psychological Services
Practice address
28 Union St N
Mora, MN 55051-1355
Phone
(320) 703-8151
NPI assigned
Mar 28, 2022
Last updated
Apr 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Authorized official

Name
Darci Jean Wikelius, MA, LADC, LPCCNPI 1366970352
Title
Owner
Phone
(320) 703-8151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

28 Union St N
Mora, MN 55051-1355

Mailing address

28 Union St N
Mora, MN 55051-1355
Phone (320) 703-8151

Other names 1

  • Ampersand Psychological Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL darci@ampersandpsychology.com

National Provider Directory

National Provider Directory

Locations

28 Union St N
Mora, MN 55051
Phone (320) 703-8151

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1255081402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 UNION ST N",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511355",
            "telephone_number": "320-703-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 UNION ST N",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511355",
            "telephone_number": "320-703-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIKELIUS COUNSELING & SUPERVISION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-04-01",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "WIKELIUS",
        "authorized_official_first_name": "DARCI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-703-8151",
        "authorized_official_credential": "MA, LADC, LPCC"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "darci@ampersandpsychology.com",
            "affiliation": "N",
            "address_1": "28 Union St N",
            "city": "Mora",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550511355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ampersand Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ampersand Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mora, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.