NOAH TYNER (LPC) – Mental Health Counselor, NPI 1194526673

NOAH TYNER (LPC) is a healthcare provider. based in Temple, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 92442 (TX). The NPI Number for NOAH TYNER (LPC) is 1194526673

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
NOAH TYNER (LPC)
NPI
1194526673
Phone
(254) 654-7796
Address
6544 S GENERAL BRUCE DR STE A
Enumeration Date
21 March 2025
Last Update Date
21 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
3072006816
Group Practice PAC ID
2062326234
Professional Enrollment ID
I20251201003727
Address ID
TX765311518HA400XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,949 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for NOAH TYNER (LPC)

  • 6544 S GENERAL BRUCE DR STE A

    TEMPLE, TX 765025811

    Phone: (254) 654-7796

    Type: Location

  • 4916 SPARKS LN

    TEMPLE, TX 765022975

    Phone: (254) 581-9725

    Type: Mailing

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: 2025-12-01

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
I20251201003727IMental Health CounselorTXTBD

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 76502)

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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: 2062326234View full group profile
NameSpecialtyState
Family PracticeTX
Physician AssistantTX
Certified Registered Nurse Anesthetist (Crna)TX
Physician AssistantTX
Physician AssistantTX
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
-TX
Emergency MedicineTX
Family PracticeTX

Reviews

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Frequently asked questions

Is there an official ID for NOAH TYNER (LPC) in U.S. healthcare records?
The official identifier for NOAH TYNER (LPC) is NPI 1194526673.
Is NOAH TYNER (LPC) still an active registrant?
NOAH TYNER (LPC) carries an active NPI according to the public dataset.
What expertise is attributed to NOAH TYNER (LPC)?
NOAH TYNER (LPC)'s specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is NOAH TYNER (LPC) associated with Temple?
Public fields place NOAH TYNER (LPC) around Temple, Texas. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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