Individual provider Active NPI

Lynn Rae Herr, PHD

  • Clinical Psychologist
  • Hurst, TX
National Provider Identifier
1174554380
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
23380 Issued in TX
Practice address
2712 Hurstview Dr
Hurst, TX 76054-2402
Phone
(888) 365-6271
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 23380 TX Primary

Addresses

Primary practice location

2712 Hurstview Dr
Hurst, TX 76054-2402

Mailing address

PO Box 121329
Arlington, TX 76012-1329
Phone (817) 657-6876

Other practice location 1

12012 Wickchester Ln
Suite 550
Houston, TX 77079-1229
Phone (832) 448-2800

Other identifiers 3

IdentifierTypeStateIssuer
102760902MedicaidTX
680012256OtherTXRAILROAD
82888POtherTXBCBS

Other names 1

  • Lynn Rae Sengbush Former name

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
I20050216000955 TX Practitioner - Clinical Psychologist 0143272211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as group
Quality
83.48
Improvement activities
40
Cost
67.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Geriatric Services P C Clinical CurrentSince May 19, 2008 Accepting new patients
Deer Oaks Mental Health Associates PC Clinical Past Accepting new patients

Locations

405 Duncan Perry Rd
Arlington, TX 76011
Phone (817) 649-3366

2712 Hurstview Dr
Hurst, TX 76054
Phone (817) 281-6407

207 S Old Betsy Rd
Keene, TX 76059
Phone (817) 228-4855

413 Mansfield Cardinal Rd
#R
Kennedale, TX 76060
Phone (817) 645-8888

413 Mansfield Cardinal Rd
Kennedale, TX 76060
Phone (817) 561-4495

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1174554380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121329",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760121329",
            "telephone_number": "817-657-6876",
            "fax_number": "832-448-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 HURSTVIEW DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542402",
            "telephone_number": "888-365-6271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12012 Wickchester Ln",
            "address_2": "Suite 550",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770791229",
            "country_code": "US",
            "telephone_number": "832-448-2800",
            "fax_number": "832-448-2801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERR",
        "first_name": "LYNN",
        "middle_name": "RAE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "23380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102760902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "680012256",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82888P",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "SENGBUSH",
            "middle_name": "RAE",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.