Within the Fragments LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WITHIN THE FRAGMENTS LLC

Practice address

117 W Patricia Rd
Holland, PA 18966-1828

Phone

(215) 378-7529

NPI assigned

Mar 8, 2023

Organization subpart

No

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

Authorized official

Name

Jessica Pendergast, MA, LCPNPI 1053022590

Title

Therapist

Phone

(215) 378-7529

Specialties & licenses 1

Addresses

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.

• Jessica Elaine Pendergast, MA, LPC

  • Professional Counselor
  • Warrington, PA
  • NPI 1053022590
  NPD Authorized official

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1780384735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W PATRICIA RD",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189661828",
            "telephone_number": "215-378-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W PATRICIA RD",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189661828",
            "telephone_number": "215-378-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITHIN THE FRAGMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "PENDERGAST",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "215-378-7529",
        "authorized_official_credential": "MA, LCP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village Shires Family Medicine
• Elizabeth Ann Vogt, OTR/L
• Edmund John Ward III
• Jamie Whiting
• Erica Louise Wiler, M.S. CCC-SLP
• Tamra Lynn Wolbert
• Laura Woods
• Yeva Ventura, LPC
• Max Zilberman, OTD, OTR/L

• Mental Health Counselor in Holland, PA
• Providers in Holland, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.