Eastside Social Skills Therapy LLC
NPI 1659765816ActiveOrganization· Preferred Provider Organization· Issaquah, WA
Preferred Provider Organization in Issaquah, Washington, registered in NPPES in March 2015. The authorized official on file is Penny J. Lathum, M.ED, BCBA, Owner.
Overview
| NPI | 1659765816 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 26, 2015 |
| Last updated in NPPES | Mar 26, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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