Ari Carry Ann Bonagofski

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF61468866 Issued in WA

Practice address

4501 15TH Ave S Ste 102
Seattle, WA 98108-1874

Phone

(206) 552-8857

NPI assigned

May 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ari Larsen Former name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: No
• 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

State licenses

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.

• New Moon Ecotherapy PLLC

  • Marriage & Family Therapist
  • Bellingham, WA
  • NPI 1124890165
  Medicare reassignment NPD Authorized official
• Reed Behavior Support, LLC

  • Developmentally Disabled Services Day Training Agency
  • Portland, OR
  • NPI 1396190930
  NPD (past)

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1376991612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 15TH AVE S STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081874",
            "telephone_number": "206-552-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 15TH AVE S STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081874",
            "telephone_number": "206-552-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAGOFSKI",
        "first_name": "ARI",
        "middle_name": "CARRY ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF61468866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARI",
            "last_name": "LARSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Daniel Bomann, MD
• Charles H Bombardier
• Karol Bomsztyk
• Mayan Bomsztyk, M.D.
• Bonaci Behavior Consulting LLC
• Nicolas Joseph Bonamici, MD
• Kelsey Bonanno
• David Keith Bonauto, MD
• Brenna Chenoa Bond, LMHC
• Emily Bond

• Marriage & Family Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.