NICOLE KUDELKA
NPI 1609608405
Counselor - Mental Health in Olympia, WA
Active since August 19, 2024
About Nicole Kudelka NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE KUDELKA (NPI 1609608405) is an individual mental health provider in Olympia, Washington, licensed in Washington (MC70048542) and active in the NPI registry since August 2024.
NPPES Registry Identity
NPI1609608405
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE KUDELKA
Location Address711 STATE AVE NEOlympia, WA 98506-3984
Mailing Address711 State Ave NeOlympia, WA 98506-3984 · (360) 943-0780
Phone(360) 943-0780
Sole ProprietorNo
Enumeration DateAugust 19, 2024
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1609608405 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 · MC70048542
711 STATE AVE NE, Olympia, WA 98506
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.
Clinic/Center (Federally Qualified Health Center (FQHC))
711 STATE AVE NE
OLYMPIA, WA 98506
OLYMPIA, WA 98506
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609608405, enumerated as an "individual" on August 19, 2024.
The provider is located at 711 STATE AVE NE OLYMPIA, WA 98506 and the phone number is (360) 943-0780.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.