Kelly Ruth Rivera

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SC61319040 Issued in WA

Practice address

600 Lakeway Dr
Bellingham, WA 98225-5236

Phone

(360) 676-6749

NPI assigned

Jun 1, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Regional Council

  • Community/Behavioral Health Agency
  • Bellingham, WA
  • NPI 1093284374
  NPD (past)
• Northwest Regional Council

  • Transportation Broker
  • Bellingham, WA
  • NPI 1609179175
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1346989969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2569",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982130569",
            "telephone_number": "425-212-4200",
            "fax_number": "425-212-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LAKEWAY DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255236",
            "telephone_number": "360-676-6749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 Madison St",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982034543",
            "country_code": "US",
            "telephone_number": "425-212-4200",
            "fax_number": "425-212-4220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "KELLY",
        "middle_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC61319040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mari Ritalahti, LMHC
• Maria Ritchie, LPN
• Marina Chanel Kovic Ritchie, PA
• Susan Jane Rittmueller, M.A.
• Rivendell Psychological Services
• Lex Dorian Rivers, LMHC, CDP
• Riverside Portable X-Ray & Ekg
• Hannah Rae Rizika
• Kacey Roach, RD
• Peter William Robbins, MD

• Social Worker in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.