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

Q: What is Marie Koffa's NPI number?

The NPI number for Marie Koffa is 1699415216. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Q: What is Marie Koffa's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Marie Koffa was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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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 and is a graduate of Other (2020).

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

Phone(651) 774-0011

Fax(651) 774-0606

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Marie Nyonnoh-clay Cassell Koffa Ladc, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739664863

PECOS Enrollment IDI20260326003202

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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