MRS. RICHELLE CRISTIE VINING-GONZALEZ
NPI 1134930308
Counselor - Mental Health in Olympia, WA

Active since January 16, 2025PECOS Enrolled
1602 SUMMIT LAKE SHORE RD NW, OLYMPIA, WA 98502(360) 259-8112 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Richelle Cristie Vining-gonzalez NPPES

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

MRS. RICHELLE CRISTIE VINING-GONZALEZ (NPI 1134930308) is an individual mental health provider in Olympia, Washington, licensed in Washington (LH61568740) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134930308
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. RICHELLE CRISTIE VINING-GONZALEZ
Location Address1602 SUMMIT LAKE SHORE RD NWOlympia, WA 98502-9437
Mailing Address1602 Summit Lake Shore Rd NwOlympia, WA 98502-9437 · (360) 259-8112
Sole ProprietorYes
Enumeration DateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1134930308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH61568740
1602 SUMMIT LAKE SHORE RD NW, Olympia, WA 98502

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Richelle Cristie Vining-gonzalez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Richelle Vining-gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
1010 S 336TH ST STE 205
Federal Way, WA 98003
  • Reassigned Medicare billing, Washington enrollment
  • 11 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Washington enrollment
  • 128 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Richelle Vining-gonzalez's NPI number?

The NPI number for Richelle Vining-gonzalez is 1134930308. It was assigned to this individual provider in the NPPES registry on January 16, 2025.

Where is Richelle Vining-gonzalez located?

Richelle Vining-gonzalez practices at 1602 Summit Lake Shore Rd NW, Olympia, WA 98502. The listed phone number is (360) 259-8112.

What is Richelle Vining-gonzalez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Richelle Vining-gonzalez enrolled in Medicare?

Yes. Richelle Vining-gonzalez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Richelle Vining-gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richelle Vining-gonzalez reassigns Medicare benefits to 2 organizations: Three Points Healing Inc. (Federal Way, WA) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richelle Vining-gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richelle Vining-gonzalez accept?

Health plans from Ambetter Health, Blue Cross and Blue Shield of Texas, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Richelle Vining-gonzalez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richelle Vining-gonzalez was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.