DR. RAE LYN GLOVER – Counseling Psychologist, NPI 1194205955

DR. RAE LYN GLOVER is a healthcare provider. based in Lexington, Kentucky. specializing in Counseling Psychologist. They hold a License No. 242244 (KY). The NPI Number for DR. RAE LYN GLOVER is 1194205955

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAE LYN GLOVER
NPI
1194205955
Phone
Not provided
Address
651 LONGVIEW DR
Enumeration Date
20 August 2018
Last Update Date
20 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6066687393
Graduation Year
2017 (9 years ago)
PAC ID
9335487743
Group Practice PAC ID
9537429378
Professional Enrollment ID
I20190211001095
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for DR. RAE LYN GLOVER

  • 651, Longview Drive, Twin Oaks, Garden Springs, Lexington, Fayette County, Kentucky, 40504-3504, United States

    LEXINGTON, KY 405031709

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190211001095IClinical PsychologistKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537429378View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Clinical PsychologistKY
P S Y C H I A T R YKY

Reviews

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Frequently asked questions

Can I verify DR. RAE LYN GLOVER with an NPI only?
You can start verification with NPI 1194205955 for DR. RAE LYN GLOVER, then check state licensing separately.
Does CMS list DR. RAE LYN GLOVER as active?
Yes — DR. RAE LYN GLOVER is active in the NPI listing used on this page.
What taxonomy line describes DR. RAE LYN GLOVER?
For research purposes, treat DR. RAE LYN GLOVER as Counseling Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. RAE LYN GLOVER list a practice location?
Patients near Lexington, Kentucky may find DR. RAE LYN GLOVER in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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