Individual provider Active NPI

Jennifer Fongemie, LPC

  • Professional Counselor
  • Liberty Hill, TX
National Provider Identifier
1114716156
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
91388 Issued in TX
Practice address
146 Arena Dr
Liberty Hill, TX 78642-2635
Phone
(832) 964-5077
NPI assigned
May 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 91388 TX Primary

Addresses

Primary practice location

146 Arena Dr
Liberty Hill, TX 78642-2635

Mailing address

146 Arena Dr
Liberty Hill, TX 78642-2635
Phone (832) 964-5077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251115000160 TX Practitioner - Mental Health Counselor 8426549601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5293 S 31St St
Suite 137
Temple, TX 76502-3575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
91388TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Shepherds New Pathways, LLC Professional CurrentSince Sep 1, 2025 Accepting new patients
The Shepherds New Pathways, LLC Professional CurrentSince May 24, 2020 Accepting new patients

Locations

921 W New Hope Dr
Ste 504
Cedar Park, TX 78613
Phone (512) 688-4303

3003 Dawn Dr
Ste 101
Georgetown, TX 78628
Phone (254) 228-5830

5293 S 31st St
Ste 137
Temple, TX 76502
Phone (254) 228-5830

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1114716156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 ARENA DR",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786422635",
            "telephone_number": "832-964-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 ARENA DR",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786422635",
            "telephone_number": "832-964-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONGEMIE",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "91388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Hill, TX

Sources for this page

Verify at the official NPI Registry.