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LAKESIDE CENTER FOR AUTISM, LLC
NPI 1588802953
Speech-Language Pathologist in Bellevue, WA

Active since January 23, 2009
5150 VILLAGE PARK DR SE, BELLEVUE, WA 98006(425) 657-0620 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 3, 2024, Nov 15, 2021 (2 updates tracked since 2021).

About Lakeside Center For Autism, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE CENTER FOR AUTISM, LLC (NPI 1588802953) is a healthcare organization registered as a speech-language pathologist in Bellevue, Washington and active in the NPI registry since January 2009. The organization maintains a secondary practice location in Bellevue and lists Dan Stachelski, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1588802953
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameLAKESIDE CENTER FOR AUTISM, LLC
Location Address5150 VILLAGE PARK DR SEBellevue, WA 98006-6652
Mailing Address5150 Village Park Dr SeBellevue, WA 98006-6652 · (425) 657-0620 · Fax (425) 502-8425
Phone(425) 657-0620
Organization SubpartNo
Authorized OfficialDan StachelskiExecutive Director · (425) 657-0620
Enumeration DateJanuary 23, 2009
Last NPPES UpdateJanuary 3, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
✔ NPI 1588802953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in WA · LL00003914
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
5150 VILLAGE PARK DR SE, Bellevue, WA 98006
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Secondary Practice Location 1

Location 113010 NE 20th St Ste 300Bellevue, WA 98005-2054 · Phone (425) 644-6328

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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.

ELISE MORRISON CCC-SLP
Speech-Language Pathologist
5150 VILLAGE PARK DR SE
BELLEVUE, WA 98006
King County (425) 657-0620
GENENVIEVE DECANTIS SLP
Speech-Language Pathologist
5150 VILLAGE PARK DR SE
BELLEVUE, WA 98006
King County (425) 657-0620
HAN CHANG
Behavior Analyst
5150 VILLAGE PARK DR SE
BELLEVUE, WA 98006
King County (425) 657-0620
GREGORY ARTHUR WALLIN
Behavior Technician
5150 VILLAGE PARK DR SE
BELLEVUE, WA 98006
King County (425) 502-8245
ALISON REID LMHC
Counselor (Mental Health)
5150 VILLAGE PARK DR SE
BELLEVUE, WA 98006
King County (425) 657-0625
MRS. MORGAN BEA LLOYD BCBA, LBA
Behavior Analyst
5150 VILLAGE PARK DR SE
BELLEVUE, WA 98006
King County (425) 657-0620
CAITLYN JANE MORGAN
Assistant Behavior Analyst
5150 VILLAGE PARK DR SE
BELLEVUE, WA 98006
King County (426) 657-0620
MEGAN YOUNG SLP-CCC
Speech-Language Pathologist
5150 VILLAGE PARK DR SE
BELLEVUE, WA 98006
King County (425) 657-0620

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Center For Autism, LLC's NPI number?

The NPI number for Lakeside Center For Autism, LLC is 1588802953. It was assigned to this organization in the NPPES registry on January 23, 2009.

Where is Lakeside Center For Autism, LLC located?

Lakeside Center For Autism, LLC is located at 5150 Village Park Dr SE, Bellevue, WA 98006. The listed phone number is (425) 657-0620.

What is Lakeside Center For Autism, LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Lakeside Center For Autism, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Lakeside Center For Autism, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeside Center For Autism, LLC was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.