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

Cisco Javier Cole, MA, LMFT

Individual provider Marriage & Family Therapist · NPI 1063149656

Cisco Javier Cole, MA, LMFT is a Marriage and Family Therapist in St Louis Park, Minnesota. Qualified in 2018, 8 years ago. Practices with Optimal Brain Mn PLLC, a 20-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2022
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

8085 Wayzata Blvd Ste 203
St Louis Park, MN 55426-1461
Phone: (612) 296-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1551 Payne Ave, Saint Paul, MN 55130-3218 — (763) 780-3307

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 4007 (MN)

Record details

NPI number1063149656
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LMFT
Sole proprietorYes
NPI enumeratedAugust 3, 2022
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Optimal Brain Mn Pllc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in St Louis Park