MS. LYNSAY ERIN GAINES LCSW
NPI 1619491701
Social Worker - Clinical in Richmond, TX

Active since July 31, 2017PECOS EnrolledAccepts Medicare Assignment
93/100
CMS Quality Rating
6426 CANYON CHASE DR, RICHMOND, TX 77469(832) 512-7829 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 24, 2023, Jul 21, 2022, Jul 31, 2017 (3 updates tracked since 2017).

About Ms. Lynsay Erin Gaines Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LYNSAY ERIN GAINES LCSW (NPI 1619491701) is an individual clinical provider in Richmond, Texas, licensed in Texas (41007) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1619491701
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LYNSAY ERIN GAINESCredential: LCSW
Location Address6426 CANYON CHASE DRRichmond, TX 77469-6133
Mailing Address6426 Canyon Chase DrRichmond, TX 77469-6133 · (832) 512-7829
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 31, 2017
Last NPPES UpdateMarch 26, 20243 updates tracked since enumeration
NPPES CertifiedMarch 26, 2024
✔ NPI 1619491701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 41007
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6426 CANYON CHASE DR, Richmond, TX 77469

Secondary Practice Location 1

Location 11775 Saint James Pl Ste 325Houston, TX 77056-3416 · Phone (832) 780-3497

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lynsay Erin Gaines Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052659034
PECOS Enrollment IDI20190218001281
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Lynsay Gaines reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
6300 WEST LOOP S STE 110
Bellaire, TX 77401
  • Reassigned Medicare billing, Texas enrollment
  • 16 clinicians in this Medicare group
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
11754 JOLLYVILLE RD STE 110
Austin, TX 78759
  • Reassigned Medicare billing, Texas enrollment
  • 21 clinicians in this Medicare group
Clinical
1201 COLONEL DR
Garland, TX 75043
  • Reassigned Medicare billing, Texas enrollment
  • 138 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
50 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77469 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lynsay Gaines's NPI number?

The NPI number for Lynsay Gaines is 1619491701. It was assigned to this individual provider in the NPPES registry on July 31, 2017.

Where is Lynsay Gaines located?

Lynsay Gaines practices at 6426 Canyon Chase Dr, Richmond, TX 77469. The listed phone number is (832) 512-7829.

What is Lynsay Gaines's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lynsay Gaines enrolled in Medicare?

Yes. Lynsay Gaines is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lynsay Gaines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lynsay Gaines reassigns Medicare benefits to 4 organizations: Bellaire Ellie Clinic PC (Bellaire, TX), Ut Physicians (Houston, TX), Adjuvant Behavioral Health Inc (Austin, TX) and Supportive Care LLC (Garland, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lynsay Gaines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lynsay Gaines accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Cigna Healthcare, Molina Healthcare and WellPoint list Lynsay Gaines as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lynsay Gaines was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.