Kathleen Pendergast LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

KATHLEEN PENDERGAST LLC

Doing business as

Kathleen Pendergast Therapy

Practice address

2001 W North Ave
Chicago, IL 60647-5413

Phone

(574) 261-7547

NPI assigned

Feb 18, 2022

Last updated

Feb 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen M Pendergast, LCPCNPI 1750634358

Title

Psychotherapist, Ceo

Phone

(574) 261-7547

Specialties & licenses 1

Addresses

Other names 1

• Kathleen Pendergast Therapy Doing business as

Tax ID family

Kathleen Pendergast LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kathleen Pendergast LLC

  dba Kathleen Pendergast Therapy

  • Professional Counselor
  • Chicago, IL
  • NPI 1407680929
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Kathleen Pendergast LLC

  dba Kathleen Pendergast Therapy

  • Professional Counselor
  • Chicago, IL
  • NPI 1407680929
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Marie Pendergast, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1750634358
  NPD Authorized official

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1255086146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W ROSCOE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571414",
            "telephone_number": "574-261-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475413",
            "telephone_number": "574-261-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN PENDERGAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "PENDERGAST",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST, CEO",
        "authorized_official_telephone_number": "574-261-7547",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kathleen Pendergast Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Casper, D.O., P.C.
• Kathleen H Maloul MD PC
• Kathleen Lee (Calumet Hearing Service)
• Kathleen M Scarpulla, MD, SC
• Kathleen McCabe, LCPC, PLLC
• Kathleen Pendergast LLC (Kathleen Pendergast Therapy)
• Kathleen R. Brennan, Inc.
• Kathleen S. Blehart LLC
• Dylan J Kathol, M.D.
• Benjamin Robinson Katholi, M.D.

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.