Provider Demographics
NPI:1144464793
Name:HOFFMAN, ARI MOSHE (MA, LPC)
Entity type:Individual
Prefix:MR
First Name:ARI
Middle Name:MOSHE
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 S NEWPORT WAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1319
Mailing Address - Country:US
Mailing Address - Phone:303-803-4832
Mailing Address - Fax:
Practice Address - Street 1:694 S FLAMINGO CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1401
Practice Address - Country:US
Practice Address - Phone:303-803-4832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5647101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO025506OtherKAISER COMMERCIAL NUMBER
CO56331541Medicaid