Mrs Richelle Cristie Vining-gonzalez, in Olympia, WA

Mrs Richelle Cristie Vining-gonzalez, is a medicare enrolled "Counselor - Mental Health" provider in Olympia, Washington. Her current practice location is 1602 Summit Lake Shore Rd Nw, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 259-8112.

Mrs Richelle Cristie Vining-gonzalez is licensed to practice in Washington (license number LH61568740) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134930308.

Contact Information

	Mrs Richelle Cristie Vining-gonzalez,
	1602 Summit Lake Shore Rd Nw, Olympia, WA 98502-9437
	(360) 259-8112
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Richelle Cristie Vining-gonzalez
Gender	Female
Speciality	Counselor - Mental Health
Location	1602 Summit Lake Shore Rd Nw, Olympia, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134930308
Provider Enumeration Date: 01/16/2025
Last Update Date: 01/16/2025

Medicare PECOS Information:

PECOS PAC ID: 2264942978
Enrollment ID: I20250611002632

Medical Identifiers

Medical identifiers for Mrs Richelle Cristie Vining-gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134930308	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LH61568740 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Richelle Cristie Vining-gonzalez allows following entities to bill medicare on her behalf.

Entity Name	Three Points Healing Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609525997 PECOS PAC ID: 1355710807 Enrollment ID: O20221206001522

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Richelle Cristie Vining-gonzalez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Richelle Cristie Vining-gonzalez, 1602 Summit Lake Shore Rd Nw, Olympia, WA 98502-9437 Ph: (360) 259-8112	Mrs Richelle Cristie Vining-gonzalez, 1602 Summit Lake Shore Rd Nw, Olympia, WA 98502-9437 Ph: (360) 259-8112

Reviews and Comments

Counselor in Olympia, WA

Layla M. Bushee, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 825 Legion Way Se Ste 3a, Olympia, WA 98501 Phone: 206-636-1246
Shelby Ann Wise, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 10th Ave Se, Olympia, WA 98501 Phone: 360-819-0546
Pamela Kay Bodine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3857 Martin Way E, Olympia, WA 98506 Phone: 360-704-7170
Mary Achol Bol, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3436 Mary Elder Rd Ne # Rs, Olympia, WA 98506 Phone: 360-528-2590
Sheryl Stone-carle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502 Phone: 360-878-8248
Daniele Brittney Maurer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3857 Martin Way E, Olympia, WA 98506 Phone: 360-704-7170
Andrew Daniel-jude Thompson, SUDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3773 Martin Way E, Olympia, WA 98506 Phone: 360-688-7312 Fax: 360-688-7318

Mrs Richelle Cristie Vining-gonzalez, - Medicare Counselor in Olympia, WA