Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Wise, MA

Individual provider Mental Health Counselor · NPI 1750251997

Ethan Wise, MA is a Mental Health Counselor in St Louis Park, Minnesota. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

See every abbreviation used in this directory →

Practice location Address checks out

4201 Excelsior Blvd
St Louis Park, MN 55416-4728
Phone: (952) 933-8900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6600 Lyndale Ave S Ste 110, Richfield, MN 55423-3398 — (612) 205-5332

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1750251997
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedNovember 11, 2025
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

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