Individual provider Active NPI

Tamame Fonville, LCSW

  • Mental Health Counselor
  • Ewing, NJ
National Provider Identifier
1366923211
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC06616400 Issued in NJ
Practice address
1901 N Olden Avenue Ext Ste 29
Ewing, NJ 08618-2111
Phone
(609) 237-7100
Fax
(609) 616-7904
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SC06616400 NJ Primary

Addresses

Primary practice location

1901 N Olden Avenue Ext Ste 29
Ewing, NJ 08618-2111

Mailing address

1901 N Olden Avenue Ext Ste 29
Ewing, NJ 08618-2111
Phone (609) 237-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20260219001873 NJ Practitioner - Clinical Social Worker 6800376674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindwell Behavioral HealthGroup PAC ID 4880080266, 11 clinicians

Practice addresses (Care Compare)

1901 N Olden Ave Ext
Suite 29
Ewing, NJ 08618-2111
Phone (609) 237-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06616400NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindwell Behavioral Health Mental Health CurrentSince Feb 5, 2026 Accepting new patients
Pinnacle Behavioral Health Services Past Accepting new patients

Locations

1901 N Olden Avenue Ext
Ste 29
Ewing, NJ 08618
Phone (609) 237-7100

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": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1366923211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N OLDEN AVENUE EXT STE 29",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182111",
            "telephone_number": "609-237-7100",
            "fax_number": "609-616-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N OLDEN AVENUE EXT STE 29",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182111",
            "telephone_number": "609-237-7100",
            "fax_number": "609-616-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONVILLE",
        "first_name": "TAMAME",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC06616400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

Verify at the official NPI Registry.