Active NPI
Ariel Blanche Kofoed, MA, LMFT, MHP
- Marriage & Family Therapist
- University Place, WA
National Provider Identifier
1215232764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF60535747
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LF60535747 | WA | MD | Marriage & Family Therapist |
| MG60288349 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ariel Kofoed Inc | Marriage & Family Therapist | Current | Accepting new patients |
| Next Step Therapy, LLC | Past | 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.
-
- Marriage & Family Therapist
- University Place, WA
- NPI 1356878797
-
- Community/Behavioral Health Agency
- University Place, WA
- NPI 1093195802
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.