Kidspace Therapy, LLC
Kidspace Therapy, LLC is a healthcare organization registered as Developmental Disabilities Clinic/Center in Longview, WA, holding Type 2 (organization) NPI 1184019184 since 2015. The authorized official on file is Leslie Wolff, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1184019184 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kidspace Therapy, LLC |
| Practice address | 2145 TIBBETTS DR STE A, Longview, WA, 98632 |
| Phone | 3605601972 |
| Fax | 3607033452 |
| Enumeration date | 2015-04-06 |
| Last updated in NPPES | 2020-07-15 |
Authorized official
| Name | Leslie Wolff |
|---|---|
| Title | Owner |
| Phone | 3605601972 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Secondary | OT00001294 | WA |
| 261QD1600X | Developmental Disabilities Clinic/Center | Primary | 603464065 | WA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801921531 | Other | WA | INDIVIDUAL NPI |
| 2043730 | Medicaid | WA | — |
| 603464065 | Other | WA | UBI |
Copy-ready billing details
Provider: Kidspace Therapy, LLC NPI: 1184019184 Taxonomy: 261QD1600X (Developmental Disabilities Clinic/Center) Address: 2145 TIBBETTS DR STE A, Longview, WA, 98632
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1629569181 | Kelly Baierl | Individual | Speech-Language Pathologist | Longview, WA |
Verify this record
Cross-check NPI 1184019184 against the authoritative CMS record: view Kidspace Therapy, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Kidspace Therapy, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-07-15.