Active NPI
Alexis Zevnick Hipp
- Mental Health Counselor
- Redmond, WA
National Provider Identifier
1942696505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 16150 NE 85TH St Ste 121
Redmond, WA 98052 - Phone
- (425) 868-5777
- Fax
- (425) 903-3957
- NPI assigned
- Apr 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60971003 | WA | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
16150 NE 85TH St Ste 121
Redmond, WA 98052
Mailing address
16150 NE 85TH St Ste 121
Redmond, WA 98052-3542
Phone (425) 868-5777
Other practice location 1
3003 Northup Way
Suite 200
Bellevue, WA 98004
Phone (425) 822-6442 ext. 100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60971003 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Behavioral Associates | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Bellevue, WA
- NPI 1861615122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1942696505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16150 NE 85TH ST STE 121",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523542",
"telephone_number": "425-868-5777",
"fax_number": "425-903-3957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16150 NE 85TH ST STE 121",
"city": "REDMOND",
"state": "WA",
"postal_code": "98052",
"telephone_number": "425-868-5777",
"fax_number": "425-903-3957"
}
],
"practiceLocations": [
{
"address_1": "3003 Northup Way",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "98004",
"country_code": "US",
"telephone_number": "425-822-6442 x100",
"fax_number": "425-828-3101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIPP",
"first_name": "ALEXIS",
"middle_name": "ZEVNICK",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-10",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60971003",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.