NPIMap

Individual provider Active NPI

Bryan Jarred Cole, LMFT

  • Marriage & Family Therapist
  • Maplewood, MN
National Provider Identifier
1053726117
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2141 Issued in MN
Practice address
2001 Beam Ave
Maplewood, MN 55109-1401
Phone
(952) 737-4520
NPI assigned
Jun 27, 2014
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2141 MN Primary

Addresses

Primary practice location

2001 Beam Ave
Maplewood, MN 55109-1401

Mailing address

2001 Beam Ave
Maplewood, MN 55109-1401
Phone (952) 737-4520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218004003 MN Practitioner - Marriage and Family Therapist 0244680130 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians

Practice addresses (Care Compare)

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 520-4897

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2141MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Jan 1, 2024 Accepting new patients
North Memorial Health Care CurrentSince Jan 1, 2024 Accepting new patients
Healtheast Medical Research Insititue CurrentSince Jan 1, 2024 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2024 Accepting new patients
North Memorial Health Care CurrentSince Jan 1, 2024 Accepting new patients
North Memorial Health Care Current Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2024 Accepting new patients
St. Croix Psychiatric, LLC Marriage & Family Therapist CurrentSince Aug 31, 2024 Accepting new patients
Prairiecare LLC Marriage & Family Therapist PastSince Jun 23, 2024 Accepting new patients
Por, LLC PastSince Feb 15, 2012 Accepting new patients
Kelly & Nguyen-Kelly Psychological and Consulting Services, LLC Past Accepting new patients

Locations

2001 Beam Ave
Maplewood, MN 55109
Phone (952) 737-4500

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

9400 Zane Ave N
Minneapolis, MN 55443
Phone (763) 383-5800

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1053726117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BEAM AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091401",
            "telephone_number": "952-737-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 BEAM AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091401",
            "telephone_number": "952-737-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "BRYAN",
        "middle_name": "JARRED",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.