Provider Demographics
NPI:1881744019
Name:HOYT-ROGERS, LYNNA KAY (M ED)
Entity type:Individual
Prefix:
First Name:LYNNA
Middle Name:KAY
Last Name:HOYT-ROGERS
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:LYNNA
Other - Middle Name:K
Other - Last Name:HOYT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:M ED
Mailing Address - Street 1:1400 WALLACE BLVD
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1708
Mailing Address - Country:US
Mailing Address - Phone:806-354-5620
Mailing Address - Fax:806-351-3783
Practice Address - Street 1:1400 WALLACE BLVD
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1708
Practice Address - Country:US
Practice Address - Phone:806-354-5620
Practice Address - Fax:806-351-3783
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13188101YM0800X, 101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX026970605Medicaid
115530100OtherCOMPCARE
TX026970602Medicaid
TX026970601Medicaid
TX026970604Medicaid
OK200271770 AMedicaid
3275LCOtherBCBS
NM03230384Medicaid
000771199OtherAETNA