MRS. MARIE NYONNOH-CLAY CASSELL KOFFA LADC, LPCC
NPI 1699415216
Counselor - Mental Health in New Hope, MN

Active since March 31, 2022PECOS Enrolled
5555 BOONE AVE N, NEW HOPE, MN 55428(651) 774-0011(651) 774-0606 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Marie Nyonnoh-clay Cassell Koffa Ladc, Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARIE NYONNOH-CLAY CASSELL KOFFA LADC, LPCC (NPI 1699415216) is an individual mental health provider in New Hope, Minnesota, licensed in Minnesota (4182) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699415216
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MARIE NYONNOH-CLAY CASSELL KOFFACredential: LADC, LPCC
Location Address5555 BOONE AVE NNew Hope, MN 55428-3636
Mailing Address3000 Ames Crossing Rd Ste 600Eagan, MN 55121-2570 · (651) 774-0011 · Fax (651) 774-0606
Fax(651) 774-0606
Sole ProprietorNo
Enumeration DateMarch 31, 2022
Last NPPES UpdateMarch 18, 2026
NPPES CertifiedMarch 18, 2026
NPI 1699415216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MN · 4182
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 306196 (MN)
5555 BOONE AVE N, New Hope, MN 55428

Medicare Participation & PECOS Enrollment Status

Marie Koffa is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MRS. MARIE NYONNOH-CLAY CASSELL KOFFA LADC, LPCC

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Registered Nurse
5555 BOONE AVE N
NEW HOPE, MN 55428
Social Worker (Clinical)
5555 BOONE AVE N
NEW HOPE, MN 55428
Social Worker (Clinical)
5555 BOONE AVE N
NEW HOPE, MN 55428
Social Worker (Clinical)
5555 BOONE AVE N
NEW HOPE, MN 55428
Social Worker (Clinical)
5555 BOONE AVE N
NEW HOPE, MN 55428
Social Worker (Clinical)
5555 BOONE AVE N
NEW HOPE, MN 55428
Counselor (Professional)
5555 BOONE AVE N
NEW HOPE, MN 55428
Social Worker (Clinical)
5555 BOONE AVE N
NEW HOPE, MN 55428
Social Worker (Clinical)
5555 BOONE AVE N
NEW HOPE, MN 55428
Counselor (Professional)
5555 BOONE AVE N
NEW HOPE, MN 55428
Community/Behavioral Health
5555 BOONE AVE N
NEW HOPE, MN 55428
Social Worker (Clinical)
5555 BOONE AVE N
MINNEAPOLIS, MN 55428
Social Worker (Clinical)
5555 BOONE AVE N
NEW HOPE, MN 55428
Social Worker (Clinical)
5555 BOONE AVE N
NEW HOPE, MN 55428
Social Worker (Clinical)
5555 BOONE AVE N
NEW HOPE, MN 55428
Marriage & Family Therapist
5555 BOONE AVE N
NEW HOPE, MN 55428
Art Therapist
5555 BOONE AVE N
NEW HOPE, MN 55428
Social Worker (Clinical)
5555 BOONE AVE N
NEW HOPE, MN 55428
Marriage & Family Therapist
5555 BOONE AVE N
NEW HOPE, MN 55428
Social Worker (Clinical)
5555 BOONE AVE N
NEW HOPE, MN 55428

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699415216, enumerated as an "individual" on March 31, 2022.

The provider is located at 5555 BOONE AVE N NEW HOPE, MN 55428 and the phone number is (651) 774-0011.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.