Active NPI
Hopeful Hipo Wellness Therapy
- Adolescent and Children Mental Health Clinic/Center
- Plymouth, MN
National Provider Identifier
1184218299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- HOPEFUL HIPO WELLNESS THERAPY
- Practice address
- 18205 45TH Ave N Ste a
Plymouth, MN 55446-4594 - Phone
- (763) 528-0107
- NPI assigned
- Mar 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mariesa Hipolito Kinney, LPCC
- Title
- Psychotherapist
- Phone
- (763) 528-0107
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
18205 45TH Ave N Ste a
Plymouth, MN 55446-4594
Mailing address
12061 Noon Dr
Dayton, MN 55327-9796
National Provider Directory
National Provider DirectoryLocations
18205 45th Ave N
Ste A
Plymouth, MN 55446
Phone (763) 528-0107
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Dayton, MN
- NPI 1851847669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614556800000",
"number": "1184218299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12061 NOON DR",
"city": "DAYTON",
"state": "MN",
"postal_code": "553279796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18205 45TH AVE N STE A",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554464594",
"telephone_number": "763-528-0107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPEFUL HIPO WELLNESS THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-01",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A",
"authorized_official_last_name": "HIPOLITO KINNEY",
"authorized_official_first_name": "MARIESA",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "763-528-0107",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.