Active NPI
Buena Vida Counseling PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Olympia, WA
National Provider Identifier
1265077846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- BUENA VIDA COUNSELING PLLC
- Practice address
- 2101 4TH Ave E Ste 200
Olympia, WA 98506-6512 - Phone
- (360) 358-2085
- NPI assigned
- Nov 7, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Marie Wellman, LMHC
- Title
- Owner/Director
- Phone
- (360) 358-2085
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
2101 4TH Ave E Ste 200
Olympia, WA 98506-6512
Mailing address
2101 4TH Ave E Ste 200
Olympia, WA 98506-6512
Phone (360) 358-2085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2155565 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
221 W Railroad Ave
Ste 2
Shelton, WA 98584
2146 W Railroad Ave
Ste A
Shelton, WA 98584
Phone (360) 358-2085
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Olympia, WA
- NPI 1346651098
-
- Mental Health Counselor
- Shelton, WA
- NPI 1326135815
-
- Chiropractor
- Polson, MT
- NPI 1427452960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783555200000",
"number": "1265077846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 4TH AVE E STE 200",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985066512",
"telephone_number": "360-358-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 4TH AVE E STE 200",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985066512",
"telephone_number": "360-358-2085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUENA VIDA COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-07",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A",
"authorized_official_last_name": "WELLMAN",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "360-358-2085",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"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": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2155565",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.