Individual provider Active NPI

Darci Jean Wikelius, PSY.D., LP

  • Psychologist
  • Mora, MN
National Provider Identifier
1366970352
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP6996 Issued in MN
Practice address
28 Union St N
Mora, MN 55051-1355
Phone
(320) 703-8151
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP6996 MN 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

  • Dr. Darci Wikelius Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL darci@ampersandpsychology.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 20, 2023 through Dec 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LP6996MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wikelius Counseling & Supervision, Inc. Psychologist CurrentSince Apr 17, 2022 Accepting new patients

Locations

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1366970352",
    "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",
            "fax_number": "320-210-1830"
        },
        {
            "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": {
        "last_name": "WIKELIUS",
        "first_name": "DARCI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "PSY.D., LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP6996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "darci@ampersandpsychology.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "general information",
            "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": [
        {
            "first_name": "DARCI",
            "last_name": "WIKELIUS",
            "prefix": "DR.",
            "credential": "LP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mora, MN

Sources for this page

Verify at the official NPI Registry.