Active NPI
Within the Fragments Therapy PLLC
- Community/Behavioral Health Agency
- Edmond, OK
National Provider Identifier
1033885652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gidget D Warner, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200370390B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Edmond, OK
- NPI 1134456197
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.