Amanda Lieberg

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

13625 Pond Springs Rd Ste 108
Austin, TX 78729-4400

Phone

(512) 537-1415

Fax

(512) 539-0160

NPI assigned

May 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Pendergast Former name

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Family Care Center LLC,

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Rock, TX
  • NPI 1427786482
  Medicare reassignment Care Compare group NPD
• Solace Minds Counseling and Wellness, LLC

  • Mental Health Counselor
  • Austin, TX
  • NPI 1730762972
  NPD Authorized official
• Family Care Center, LLC

  • Psychiatry Physician
  • Mesa, AZ
  • NPI 1598535288

  Professional

  NPD
• DND Counseling PLLC

  • Professional Counselor
  • Austin, TX
  • NPI 1841649522
  NPD (past)

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

{
    "created_epoch": "1557532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557532800000",
    "number": "1780240150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13625 POND SPRINGS RD STE 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787294400",
            "telephone_number": "512-537-1415",
            "fax_number": "512-539-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13625 POND SPRINGS RD STE 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787294400",
            "telephone_number": "512-537-1415",
            "fax_number": "512-539-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERG",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-11",
        "last_updated": "2019-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PENDERGAST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Visar Lica
• Amanda Isabel Licea, PA-C
• Rachael Lichtenberger, PA-C
• J. Brad Lichtenhan, M.D.
• Stacy L Liddle, PT
• Allen Keith Lieberman, MD
• Elizabeth Liebert
• Kristina Maris Liebert
• Deborah Liebman, LPC
• Joshua Todd Liemer, BCBA

• Professional Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.