Cisco Javier Cole, MA, LMFT
NPI 1063149656ActiveIndividual· Marriage & Family Therapist· St Louis Park, MN
Marriage & Family Therapist (MA, LMFT) with Optimal Brain Mn PLLC, practicing in St Louis Park, Minnesota. Enrolled in Medicare as practitioner - marriage and family therapist.
Overview
| NPI | 1063149656 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, LMFT |
| Sole proprietor | Yes |
| NPI issued | Aug 3, 2022 |
| Last updated in NPPES | Apr 9, 2024 |
| Certified by provider | Apr 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 4007 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Marriage and Family Therapist (MN) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
| Telehealth | Offers telehealth |
Medical group
- Optimal Brain Mn PLLCOakdale, MN · 21 clinicians
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