Richelle Cristie Vining-Gonzalez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61568740 Issued in WA

Practice address

1602 Summit Lake Shore Rd NW
Olympia, WA 98502-9437

Phone

(360) 259-8112

NPI assigned

Jan 16, 2025

Sex

Female

Sole proprietor

Yes

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Three Points Healing Inc.

  • Psychiatry Physician
  • Federal Way, WA
  • NPI 1609525997
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1134930308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 SUMMIT LAKE SHORE RD NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985029437",
            "telephone_number": "360-259-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 SUMMIT LAKE SHORE RD NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985029437",
            "telephone_number": "360-259-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINING-GONZALEZ",
        "first_name": "RICHELLE",
        "middle_name": "CRISTIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61568740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Vetter
• Mary Ann Vetter, DMD
• Victor H. Nguyen DDS PS
• Eugene Daniel Villacian, ARNP
• Nicole L Vincent
• Chandni Kaur Virdi, ARNP
• Virginia K Cailleteau Licsw Dba Evenstar Counseling
• Virginia R Cannon MD PLLC
• Cathy Visser, RD
• Vista Oncology Inc PS

• Mental Health Counselor in Olympia, WA
• Providers in Olympia, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.