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CARLY HEATHER GUTIERREZ
NPI 1104549708
Peer Specialist in Olympia, WA

Active since September 20, 2022
1202 BLACK LAKE BLVD SW, OLYMPIA, WA 98502(360) 878-8248 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carly Heather Gutierrez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY HEATHER GUTIERREZ (NPI 1104549708) is an individual peer specialist in Olympia, Washington and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1104549708
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameCARLY HEATHER GUTIERREZ
Location Address1202 BLACK LAKE BLVD SWOlympia, WA 98502-7207
Mailing Address907 7th Ave SwTumwater, WA 98512-6820 · (360) 790-4044
Phone(360) 878-8248
Sole ProprietorNo
Enumeration DateSeptember 20, 2022
NPPES CertifiedSeptember 20, 2022
✔ NPI 1104549708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1202 BLACK LAKE BLVD SW, Olympia, WA 98502
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. STEPHANIE SUZAN QUIMBY LMP
Massage Therapist
1202 BLACK LAKE BLVD SW
OLYMPIA, WA 98502
Thurston County (360) 888-5936
WHITNEY BRIANNA MYETTE
Peer Specialist
1202 BLACK LAKE BLVD SW
OLYMPIA, WA 98502
Thurston County (360) 489-5283
MR. MATTHEW MICHAEL KRNICH
Counselor
1202 BLACK LAKE BLVD SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248
RANDI MARIE BRATHOLM
Peer Specialist
1202 BLACK LAKE BLVD SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248
KERSTIN SYLVIA AYERS
Peer Specialist
1202 BLACK LAKE BLVD SW
OLYMPIA, WA 98502
Thurston County (360) 764-0345
BRIAN KEITH PRATT JR.
Counselor
1202 BLACK LAKE BLVD SW
OLYMPIA, WA 98502
Thurston County (360) 968-3170
ERIC GARDNER
Peer Specialist
1202 BLACK LAKE BLVD SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248
NOLAN ROBERT CARR
Counselor
1202 BLACK LAKE BLVD SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Gutierrez's NPI number?

The NPI number for Carly Gutierrez is 1104549708. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Carly Gutierrez located?

Carly Gutierrez practices at 1202 Black Lake Blvd SW, Olympia, WA 98502. The listed phone number is (360) 878-8248.

What is Carly Gutierrez's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Carly Gutierrez was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.