Individual provider Active NPI

Kaelyn Marie Hewson, SUDP

  • Addiction (Substance Use Disorder) Counselor
  • Bellevue, WA
National Provider Identifier
1891209599
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP60878508 Issued in WA
Practice address
12330 NE 8TH St Ste 100
Bellevue, WA 98005-3187
Phone
(425) 454-2238
NPI assigned
Nov 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO60336491 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60878508 WA Primary

Addresses

Primary practice location

12330 NE 8TH St Ste 100
Bellevue, WA 98005-3187

Mailing address

12330 NE 8TH St Ste 100
Bellevue, WA 98005-3187
Phone (425) 454-2238

Other names 1

  • Kaelyn Marie Ribary Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CO60336491WAMDAddiction (Substance Use Disorder) Counselor
CP60878508WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Recovery Solutions PastSince Dec 8, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1891209599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 NE 8TH ST STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053187",
            "telephone_number": "425-454-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 NE 8TH ST STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053187",
            "telephone_number": "425-454-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWSON",
        "first_name": "KAELYN",
        "middle_name": "MARIE",
        "credential": "SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60336491",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60878508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAELYN",
            "last_name": "RIBARY",
            "middle_name": "MARIE",
            "credential": "CDPT, AA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.