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

(773) 217-8834

NPI assigned

Aug 27, 2024

Organization subpart

Yes

Parent organization

KATHLEEN PENDERGAST LLCAs reported in NPPES

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

Authorized official

Name

Ms. Kathleen Marie Pendergast, LCPCNPI 1750634358

Title

Owner

Phone

(773) 217-8834

Specialties & licenses 2

Addresses

Other names 1

• Kathleen Pendergast Therapy Doing business as

Tax ID family

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

Part of

Kathleen Pendergast LLC

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 1255086146
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Kathleen Pendergast LLC

  dba Kathleen Pendergast Therapy

  • Professional Counselor
  • Chicago, IL
  • NPI 1255086146
  NPPES parent name

Practitioners 1

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

• 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": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1407680929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 N DAMEN AVE STE 208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222102",
            "telephone_number": "733-217-8834"
        },
        {
            "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": "773-217-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN PENDERGAST LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KATHLEEN PENDERGAST LLC",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "PENDERGAST",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-217-8834",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kathleen Pendergast Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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.
• Paru P Kathpalia, MD

• 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 Aug 27, 2024; 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.