Active NPI
Carly Nicole Vonhoffmann
- Marriage & Family Therapist
- Tulalip, WA
National Provider Identifier
1962791814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF60543926
- Practice address
- 4033 76TH Place Northwest
Tulalip, WA 98271-9706 - Phone
- (360) 716-4062
- Fax
- (360) 716-0751
- NPI assigned
- Mar 31, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF60543926 | WA | Primary |
Addresses
Primary practice location
4033 76TH Place Northwest
Tulalip, WA 98271-9706
Mailing address
4033 76TH Place Northwest
Tulalip, WA 98271-9706
Phone (360) 716-4062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF60543926 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1962791814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4033 76TH PLACE NORTHWEST",
"city": "TULALIP",
"state": "WA",
"postal_code": "982719706",
"telephone_number": "360-716-4062",
"fax_number": "360-716-0751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4033 76TH PLACE NORTHWEST",
"city": "TULALIP",
"state": "WA",
"postal_code": "982719706",
"telephone_number": "360-716-4062",
"fax_number": "360-716-0751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONHOFFMANN",
"first_name": "CARLY",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-31",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF60543926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulalip, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.