Organization Active NPI

Within the Fragments Therapy PLLC

  • Community/Behavioral Health Agency
  • Edmond, OK
National Provider Identifier
1033885652
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WITHIN THE FRAGMENTS THERAPY PLLC
Practice address
2 E 11TH St Ste 108
Edmond, OK 73034-3990
Phone
(405) 850-8856
Fax
(405) 844-7232
NPI assigned
Aug 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Gidget D Warner, LCSWNPI 1134456197
Title
Owner
Phone
(405) 850-8856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2 E 11TH St Ste 108
Edmond, OK 73034-3990

Mailing address

2 E 11TH St Ste 108
Edmond, OK 73034-3990
Phone (405) 850-8856

Other identifiers 1

IdentifierTypeStateIssuer
200370390BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220805001549 OK Part B Supplier - Clinic/Group Practice 9931581006 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK

National Provider Directory

National Provider Directory

Locations

2 E 11th St
Ste 108
Edmond, OK 73034
Phone (405) 285-8826

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1033885652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E 11TH ST STE 108",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343990",
            "telephone_number": "405-850-8856",
            "fax_number": "405-844-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E 11TH ST STE 108",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343990",
            "telephone_number": "405-850-8856",
            "fax_number": "405-844-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITHIN THE FRAGMENTS THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "GIDGET",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-850-8856",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200370390B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.