BRIAN ALLEN WICKS (NPI# 1730710815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730710815 |
| Entity Type | Individual |
| Full Name | BRIAN ALLEN WICKS |
| Credential | MFT |
| Practice Address |
8421 Wayzata Blvd Ste 250 Golden Valley MN 55426-1382 |
| Practice Telephone | 9528356540 |
| Practice Fax Number | 6519250089 |
| Mailing Telephone | 9528356540 |
| Mailing Fax Number | 6519250089 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3970 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346286986 | Brian P Wicks | Orthopaedic Surgery | 2200 Nw Myhre Rd, Silverdale, WA 98383-7681 | 2006-06-21 |
| Street Address |
8421 WAYZATA BLVD STE 250 |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55426-1382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700129848 | Gwendolyn Day | Marriage & Family Therapist | 8421 Wayzata Blvd Ste 250, Golden Valley, MN 55426-1382 | 2013-03-27 |
| 1689294837 | Amy J Blehert | Marriage & Family Therapist | 8421 Wayzata Blvd Ste 250, Golden Valley, MN 55426-1382 | 2020-04-17 |
| 1912533399 | Lisa Anne Slezak-moser | Marriage & Family Therapist | 8421 Wayzata Blvd Ste 250, Golden Valley, MN 55426-1382 | 2020-03-18 |
| 1720614001 | William Kirkland I | Counselor | 8421 Wayzata Blvd Ste 250, Golden Valley, MN 55426-1382 | 2020-03-18 |
| 1902432248 | Brooke Taylor Wakefield | Counselor | 8421 Wayzata Blvd Ste 250, Golden Valley, MN 55426-1382 | 2020-03-18 |
| 1588290985 | Gordon Ray Baker Jr. | Counselor | 8421 Wayzata Blvd Ste 250, Golden Valley, MN 55426-1382 | 2020-03-17 |
| 1568098994 | Aoife Ryan | Counselor | 8421 Wayzata Blvd Ste 250, Golden Valley, MN 55426-1382 | 2020-03-17 |
| 1124547187 | Nicholas William Vorpahl | Counselor | 8421 Wayzata Blvd Ste 250, Golden Valley, MN 55426-1382 | 2017-09-11 |
| 1477908945 | Jessica Metzger | Marriage & Family Therapist | 8421 Wayzata Blvd Ste 250, Golden Valley, MN 55426-1382 | 2016-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538634704 | Lynn Marie Woo Mykytyn | Counselor | 5851 Duluth St Ste 316, Golden Valley, MN 55422-3957 | 2018-10-03 |
| 1164880217 | Patricia Lucas | Counselor | 225 Dakota Ave S, Golden Valley, MN 55416-1015 | 2016-02-03 |
| 1073903886 | Stephanie Untiedt, Phd, LLC | Counselor | 5101 Olson Memorial Hwy Ste 4007, Golden Valley, MN 55422-5164 | 2015-02-01 |
| 1053670059 | Adam Lee Gatzke | Counselor | 8441 Wayzata Blvd Ste 160, Golden Valley, MN 55426-1367 | 2012-05-10 |
| 1689968091 | Kristin Marie Baden | Counselor | 1533 Pennsylvania Ave N, Golden Valley, MN 55427-4009 | 2011-06-02 |
| 1699078402 | Esther Rachel Holtzer | Counselor | 5851 Duluth St Ste 306, Golden Valley, MN 55422-3957 | 2010-12-16 |
| 1902963275 | Timothy Martin Olson | Counselor | 1405 Lilac Dr N Ste 150, Golden Valley, MN 55422-4536 | 2007-01-03 |
| 1366443723 | Pathways Psychological Services, P.a. | Counselor | 7575 Golden Valley Rd, Suite 230, Golden Valley, MN 55427-4562 | 2005-08-09 |
| 1811513286 | Mary Rose Colucci | Counselor | 8401 Wayzata Blvd Ste 150, Golden Valley, MN 55426-1377 | 2020-06-22 |
| 1720614001 | William Kirkland I | Counselor | 8421 Wayzata Blvd Ste 250, Golden Valley, MN 55426-1382 | 2020-03-18 |
| Find all providers in GOLDEN VALLEY | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55426 |
Please comment or provide details below to improve the information on BRIAN ALLEN WICKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.