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RICKY GOURDINE
NPI 1285200758
Counselor - Mental Health in Olympia, WA

Active since June 03, 2021
402 YAUGER WAY SW, OLYMPIA, WA 98502(360) 878-8248 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2025, Jun 3, 2021 (2 updates tracked since 2021).

About Ricky Gourdine NPPES

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

RICKY GOURDINE (NPI 1285200758) is an individual mental health provider in Olympia, Washington, licensed in Washington (MC61601654) and active in the NPI registry since June 2021. He maintains a secondary practice location in Olympia.

NPPES Registry Identity

NPI1285200758
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRICKY GOURDINE
Location Address402 YAUGER WAY SWOlympia, WA 98502-8660
Mailing Address3857 Martin Way EOlympia, WA 98506-5268 · (360) 704-7170
Phone(360) 878-8248
Sole ProprietorNo
Enumeration DateJune 3, 2021
Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1285200758 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 · MC61601654
402 YAUGER WAY SW, Olympia, WA 98502
Open in Google Maps ↗

Secondary Practice Location 1

Location 13857 Martin Way EOlympia, WA 98506-5268 · Phone (360) 704-7170

Other Providers at the Same Location NPPES 20

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

SAMANTHA FELICIANO
Counselor
402 YAUGER WAY SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248
MS. KELLY LYNN COMEAU
Counselor
402 YAUGER WAY SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248
LATIKA CHANDLER
Counselor
402 YAUGER WAY SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248
ANTONIO DEMOND ROWE II
Counselor
402 YAUGER WAY SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248
JENNIFER MAE FREDERICK
Counselor
402 YAUGER WAY SW
OLYMPIA, WA 98502
Thurston County (360) 515-8012
NANA ANITA SIYUFY
Peer Specialist
402 YAUGER WAY SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248
RAVEN VROLYK
Social Worker
402 YAUGER WAY SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248
MARY L ARIAS
Peer Specialist
402 YAUGER WAY SW
OLYMPIA, WA 98502
Thurston County (360) 968-3182

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 Ricky Gourdine's NPI number?

The NPI number for Ricky Gourdine is 1285200758. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Where is Ricky Gourdine located?

Ricky Gourdine practices at 402 Yauger Way SW, Olympia, WA 98502. The listed phone number is (360) 878-8248.

What is Ricky Gourdine's specialty?

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

When was this NPI record last updated?

The NPPES record for Ricky Gourdine was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.