Individual provider Active NPI

Ariel Blanche Kofoed, MA, LMFT, MHP

  • Marriage & Family Therapist
  • University Place, WA
National Provider Identifier
1215232764
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60535747 Issued in WA
Practice address
3318 Bridgeport Way W
Suite D3
University Place, WA 98466
Phone
(253) 564-4450
Fax
(253) 444-0543
NPI assigned
Jan 13, 2011
Last updated
Oct 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MG60288349 WA
Marriage & Family Therapist 106H00000X LF60535747 WA Primary

Addresses

Primary practice location

3318 Bridgeport Way W
Suite D3
University Place, WA 98466

Mailing address

6824 19TH St W # 281
University Place, WA 98466-5528
Phone (253) 564-4450

Other names 1

  • Ariel Blanche Vanmechelen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 1, 2024 through Dec 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LF60535747WAMDMarriage & Family Therapist
MG60288349WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ariel Kofoed Inc Marriage & Family Therapist CurrentSince Jul 24, 2022 Accepting new patients
Next Step Therapy, LLC PastSince Oct 10, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1215232764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 19TH ST W # 281",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984665528",
            "telephone_number": "253-564-4450",
            "fax_number": "253-444-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 BRIDGEPORT WAY W",
            "address_2": "SUITE D3",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "98466",
            "telephone_number": "253-564-4450",
            "fax_number": "253-444-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFOED",
        "first_name": "ARIEL",
        "middle_name": "BLANCHE",
        "name_prefix": "Mrs.",
        "credential": "MA, LMFT, MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2021-10-04",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60288349",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60535747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIEL",
            "last_name": "VANMECHELEN",
            "middle_name": "BLANCHE",
            "credential": "BA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in University Place, WA

Sources for this page

Verify at the official NPI Registry.