Three Dirty Birds LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THREE DIRTY BIRDS LLC

Practice address

805 Lorraine Dr
Springfield, PA 19064-1004

Phone

(610) 543-4048

NPI assigned

Nov 14, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Peter J. Bendig Jr., PHD/ABD, LPC

Title

Partner Owner

Phone

(610) 543-4048

Specialties & licenses 1

Addresses

Other names 1

• Crestview Farms Counseling Doing business as

Electronic endpoints 1

Practitioners 2

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

• Heather Marie Bendig, LPC, CAADC

  • Professional Counselor
  • Broomall, PA
  • NPI 1730094426
  NPD (past)
• Pete J Bendig Jr., PHD/ABD, LPC

  • Professional Counselor
  • Secane, PA
  • NPI 1801129556
  NPD (past)

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1356986319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190810330",
            "telephone_number": "610-543-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 LORRAINE DR",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641004",
            "telephone_number": "610-543-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE DIRTY BIRDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "BENDIG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PARTNER OWNER",
        "authorized_official_telephone_number": "610-543-4048",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD/ABD,  LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.performcarenj.org",
            "affiliation": "N",
            "endpointDescription": "New Jersey Children's System of Care, Contracted System Administrator  PerformCare",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "805 Lorraine Dr",
            "city": "Springfield",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190641004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Crestview Farms Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Springfield, PA
• Providers in Springfield, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.