Mariesa Hipolito Kinney

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

12061 Noon Dr
Dayton, MN 55327-9796

Phone

(763) 528-0107

NPI assigned

Aug 31, 2016

Last updated

Mar 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hopeful Hipo Wellness Therapy

  • Adolescent and Children Mental Health Clinic/Center
  • Plymouth, MN
  • NPI 1184218299
  NPD Authorized official
• Family Support Services Inc.

  dba Sagent Behavioral Health

  • Mental Health Counselor
  • New Brighton, MN
  • NPI 1467549220
  NPD (past)
• Northwest Family Counseling

  • Community/Behavioral Health Agency
  • Saint Michael, MN
  • NPI 1396275004
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1851847669",
    "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": "12061 NOON DR",
            "city": "DAYTON",
            "state": "MN",
            "postal_code": "553279796",
            "telephone_number": "763-528-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIPOLITO KINNEY",
        "first_name": "MARIESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Life Mental Halth Services LLC
• Healing Menagerie Acres
• Heartland Assisted Living
• Heartland Medical Supplies
• Heavenly Hills Adult Day Care
• Jaimie Nicole Hoiland, DDS
• Holsoms TMS Mental Wellness Clinic
• Hope & Grace Counseling LLC
• Ida Rides
• Cecile Nono Ketchaya

• Mental Health Counselor in Dayton, MN
• Providers in Dayton, MN by specialty
• Mental Health Counselor in Minnesota

• 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.