Kelly Angela Landon, CPSST

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

809 W Main St Ste C
Monroe, WA 98272-2172

Phone

(206) 552-0882

Fax

(844) 440-2147

NPI assigned

Sep 23, 2025

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

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.

• 5R Recovery

  • Case Management Agency
  • Everett, WA
  • NPI 1235922881
  NPD Authorized official

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1609748011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7104 67TH DR NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707776",
            "telephone_number": "425-772-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W MAIN ST STE C",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722172",
            "telephone_number": "206-552-0882",
            "fax_number": "844-440-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDON",
        "first_name": "KELLY",
        "middle_name": "ANGELA",
        "credential": "CPSST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle D Gill PLLC
• Jessica Kyllonen
• Laboratory Corporation of America
• Lake Tye Emergency Physicians PLLC
• Deborah Marie Lambo, MA, LMHC
• Ginger Lee Landry, LMP
• Matthew Patrick Langedyke, MSW, LICSW
• Caroline Lara, MA
• Midori K. Larrabee, M.D.
• Delia Ann Larry

• Peer Specialist in Monroe, WA
• Providers in Monroe, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.