Cole Anthony Buchtel, L.I.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16129 Issued in MN

Practice address

2385 Ariel St N
Maplewood, MN 55109

Phone

(651) 528-6169

Fax

(651) 528-6583

NPI assigned

Jun 9, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Minnesota Medical and Rehabilitative Services, LLC

  dba Minnesota Medical and Rehabilitation

  • Physical Therapist
  • St Louis Park, MN
  • NPI 1154302545
  Medicare reassignment NPD
• CP Resoluations LLC

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1619314614
  NPD (past) Authorized official

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1811281645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 EXCELSIOR BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164728",
            "telephone_number": "952-933-8900",
            "fax_number": "952-945-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 ARIEL ST N",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "55109",
            "telephone_number": "651-528-6169",
            "fax_number": "651-528-6583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 S 7th St Apt 1510",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554151639",
            "country_code": "US",
            "telephone_number": "612-462-3310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 Excelsior Blvd",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554164728",
            "country_code": "US",
            "telephone_number": "952-933-8900",
            "fax_number": "952-945-9536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHTEL",
        "first_name": "COLE",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "L.I.C.S.W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven J Bruin, PHARMD
• Chelsea Brumme, LPCC
• Frank Joseph Brumme, LPCC
• Jacqueline Lea Bryant, RN
• Nicole Szudy Buatala, RN, MSN, FNP, PMHNP
• Joseph William Budenske, MD
• Samantha Buerger
• William David Bunce, DDS
• Craig Jay Buning, DPT
• Cindy Burdeski, PHARM.D.

• Clinical Social Worker in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.