CISCO JAVIER COLE MA, LMFT
NPI 1063149656
Marriage & Family Therapist in St Louis Park, MN
About Cisco Javier Cole Ma, Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CISCO JAVIER COLE MA, LMFT (NPI 1063149656) is an individual marriage & family therapist in St Louis Park, Minnesota, licensed in Minnesota (4007) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Paul, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Cisco Javier Cole Ma, Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Cisco Cole reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Paul, MN 55130
- Reassigned Medicare billing, Minnesota enrollment
- 12 clinicians in this Medicare group
Oakdale, MN 55128
- Reassigned Medicare billing, Minnesota enrollment
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GOLDEN VALLEY, MN 55426
SAINT LOUIS PARK, MN 55426
GOLDEN VALLEY, MN 55426
MINNEAPOLIS, MN 55426
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cisco Cole's NPI number?
The NPI number for Cisco Cole is 1063149656. It was assigned to this individual provider in the NPPES registry on August 3, 2022.
Where is Cisco Cole located?
Cisco Cole practices at 8085 Wayzata Blvd Ste 203, St Louis Park, MN 55426. The listed phone number is (612) 296-3800.
What is Cisco Cole's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Cisco Cole enrolled in Medicare?
Yes. Cisco Cole is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Cisco Cole's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cisco Cole reassigns Medicare benefits to 2 organizations: Lighthouse Psychological Services Inc (Saint Paul, MN) and Optimal Brain Mn, PLLC (Oakdale, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cisco Cole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cisco Cole accept?
Health plans from HealthPartners and Sanford Health Plan list Cisco Cole as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cisco Cole was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cisco Javier Cole, MA, LMFT · NPI 1063149656
Marriage & Family Therapist provider in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since August 3, 2022.
## Identity
- **NPI:** 1063149656 (Entity type: Individual)
- **Enumerated:** August 3, 2022
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 4007 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8085 WAYZATA BLVD STE 203, St Louis Park, MN 55426-1461
- **Phone:** (612) 296-3800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lighthouse Psychological Services Inc (NPI 1548428170, Saint Paul, MN); Optimal Brain Mn, PLLC (NPI 1609614957, Oakdale, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063149656) · Data from the CMS NPPES public registry.