Organization Active NPI

Hopeful Hipo Wellness Therapy

  • Adolescent and Children Mental Health Clinic/Center
  • Plymouth, MN
National Provider Identifier
1184218299
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
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

Updated by the provider on Mar 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mariesa Hipolito Kinney, LPCCNPI 1851847669
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.