MEDICARE: JENNIFER HYPPOLITE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MC61146826	WA
2	101YM0800X	Mental Health Counselor	LH61472809	WA
3	101YP2500X	Professional Counselor	LH61472809	WA

General Provider Information

NPI Number	:	1992370951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER HYPPOLITE

Provider Business Mailing Address
First Line	:	2226 EASTLAKE AVE E # 1020
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-3419
Country	:	US
Telephone Number	:	678-861-8802
Fax Number	:

Provider Business Practice Location Address
First Line	:	2226 EASTLAKE AVE E # 1020
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-3419
Country	:	US
Telephone Number	:	678-861-8802
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2021
Last Update Date	:	06/23/2025

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Directions to “ JENNIFER HYPPOLITE ” Practice Location

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