Texas therapist superbill generator

Texas superbill and invoice for LPC, LCSW, LMFT, and psychologists

This page is the same Therapist Invoice Generator generator with Texas selected. Out-of-network clients still need a superbill with your NPI, tax ID, Texas license number, CPT codes, ICD-10 diagnoses, place of service, and fees. Private-pay clients usually need a simpler invoice — toggle the document type above.

License titles used on Texas superbills

Independent counseling in Texas is commonly written as LPC. Also print the letters you actually hold: LPC, LPC-Associate, LCSW, LMFT, Licensed Psychologist. The board to match your number against is the Texas Behavioral Health Executive Council (BHEC). License line hint: TX #.

Texas counselors are LPCs (associates: LPC-Associate). All four BH professions sit under BHEC. PSYPACT is active; the Counseling Compact is not Texas law as of this snapshot.

Telehealth coding (national rules, used in Texas)

In-office sessions use place of service 11 and no telehealth modifier. Video visits with the client at home use POS 10 and modifier 95. If the client is not at home, use POS 02. Audio-only, when the payer allows it, is modifier 93. Do not pair POS 11 with modifier 95.

Sales tax on therapy in Texas

Professional counseling and psychotherapy are generally exempt from Texas sales and use tax. This generator defaults tax to zero. Add a note, not a tax engine, if your situation is unusual (retail products, groups billed as events, etc.).

Interstate compacts (verify before you practice)

• Counseling Compact: Not a member
• PSYPACT (psychologists): Active
• Social Work Compact: Not a member

Enacted is not the same as operational. A compact privilege does not replace documenting the license or privilege you used on the date of service.

What board number do I print?

Use the number from the BHEC license search. LPC-Associates must use that title, not LPC.

What to put on a Texas superbill

• Your legal name, LPC or other credential, practice address, phone
• NPI (Type 1) and EIN or SSN as tax ID
• Texas license number as printed by the Texas Behavioral Health Executive Council (BHEC)
• Client name, date of birth, member ID if they want reimbursement
• Each date of service, POS, CPT (90834 / 90837 / 90791 are the usual set), ICD-10, fee, amount paid

Orientation only — not billing, tax, or legal advice. Payer rules beat this page.

Texas behavioral health licenses for counselors, social workers, marriage and family therapists, and psychologists sit under the Texas Behavioral Health Executive Council (BHEC). This generator produces a therapist invoice or out-of-network (OON) superbill PDF in your browser with Texas defaults: LPC as the primary counseling title, an LPC-Associate option, and a TX # license hint that matches BHEC’s online verification string.

An invoice asks the client to pay you. A superbill gives the client the same clinical and fee detail so they can file an OON claim with their insurer. Both need rendering-provider name, credential, Texas license number, NPI, ICD-10, CPT, place of service, and dollar amounts. The tool is browser-only—fields stay on your device; this flow does not upload PHI to a server.

License titles that belong on the form

Texas independent counselors use Licensed Professional Counselor (LPC). Pre-independent clinicians use LPC-Associate (not “LPC”). Print the rank you currently hold on BHEC’s license search—associates must not list themselves as LPC.

Credential strings for this page’s dropdown:

• LPC — Licensed Professional Counselor (default)
• LPC-Associate — associate rank; identify the supervisor when a payer asks
• LCSW — Licensed Clinical Social Worker
• LMFT — Licensed Marriage and Family Therapist
• Licensed Psychologist — psychology license under BHEC / Texas State Board of Examiners of Psychologists framework

Match the letters on your wall certificate and the BHEC public profile. If you hold a supervisor specialty designation, you may note it in the notes field; the credential line itself should still show LPC, LCSW, LMFT, or Licensed Psychologist as appropriate.

Board, license number, lookup

Board / council: Texas Behavioral Health Executive Council (BHEC) — bhec.texas.gov. BHEC oversees professional counseling, social work, marriage and family therapy, and psychology licensing boards.

Official verification: Online Search / Verify a License. Search results are primary-source verification and show status, issuance and rank dates, expiration, specialty designations (for example supervisor), and publicly available disciplinary history.

Copy the license number exactly from the verification result into the superbill’s license field (this generator’s hint is TX #). LPC-Associates must use that title on the rendering line. Downloadable licensee CSVs on the same page are for bulk reference only—always confirm the individual record before a first OON submission.

Interstate practice: Counseling Compact / PSYPACT / Social Work Compact

Snapshot for 2026-09-14 (always re-check official maps):

• Counseling Compact: Texas is not a member. Texas does not appear on counselingcompact.gov/map. Compact-related bills (for example SB 498 / HB 1537 in the 89th Legislature) were referred to committee and did not enact membership. BHEC has historically supported joining but requires Texas legislation. Do not advertise Counseling Compact privilege for Texas clients.
• PSYPACT: Texas is a PSYPACT participating jurisdiction for eligible psychologists who hold the required authorizations (E.Passport / TAP as applicable). Confirm your authorization and the client’s location rules on psypact.gov before interstate telepsychology.
• Social Work Licensure Compact: Texas is not listed among jurisdictions that have passed the compact on swcompact.org/compact-jurisdictions. Do not rely on a multistate SW compact license for Texas practice.

Verify before you rely on it. Compact membership and privilege systems change. This page’s flags are for generator defaults only.

Telehealth + place of service

For video psychotherapy superbills, use the place-of-service codes payers expect:

• POS 10 — patient at home
• POS 02 — telehealth other than home
• Modifier 95 — when the plan wants synchronous telemedicine marked

Do not code a video-only session as POS 11. Psychologists using PSYPACT must still meet PSYPACT Commission rules and list the authorization they actually hold. Counselors and LMFTs practicing into Texas generally need a Texas license (or another lawful BHEC pathway)—Texas is outside the Counseling Compact.

Sales tax on therapy invoices

Texas imposes sales tax only on services listed in Tax Code §151.0101 (see Comptroller Publication 96-259, Taxable Services). Professional counseling and psychotherapy are not among those enumerated categories. Session fees are therefore generally nontaxable; leave the invoice tax line at $0 unless you also sell a listed taxable service or tangible goods and the Comptroller’s rules require collection.

This is not tax advice—bundled taxable products or separately taxable services can change the analysis. Confirm with the Texas Comptroller or a Texas tax professional if your practice sells goods, software access, or other enumerated services.

How to fill the Texas generator

1. Keep State = TX.
2. Select LPC (or LPC-Associate / LCSW / LMFT / Licensed Psychologist).
3. Enter rendering name and TX # exactly as shown on BHEC verify.
4. Add NPI, practice address, and tax ID as your OON packet requires.
5. Line-item each date of service with CPT, ICD-10, units, charge, and amount paid.
6. Use POS 10 or 02 for telehealth; add modifier 95 when needed.
7. LPC-Associates: disclose associate status and supervisor in notes if the insurer requests it.
8. Export the PDF and store it locally; the client submits the superbill to the payer.

Two worked Texas examples

The quickest way to understand what belongs in each field is to watch one Texas practice turn the same session records into two different documents. Neither example below contains real client information, and neither one ever leaves your browser when you work through it in the generator — the numbers here are illustrative placeholders you would replace with your own.

Example 1 — a straightforward in-office Texas invoice

A Licensed Professional Counselor in Austin sees a private-pay client twice in September for individual psychotherapy in the office. The client is paying out of pocket and has no intention of filing a claim, so an invoice is the right document: it is a receipt and a demand for payment, nothing more. Because no insurer will read it, a diagnosis code is optional, and many Texas clinicians deliberately leave it off a plain invoice so the client is not handed a diagnosis they did not ask for.

Two details make this a Texas invoice rather than a generic one. The place of service is 11 because both sessions happened in the office, and the tax line is $0.00 because professional counseling is not one of the services enumerated in Tax Code §151.0101. The credential line reads the clinician's name followed by LPC, and the license field carries the number exactly as it appears on BHEC's verification page under the TX # hint.

Example 2 — a telehealth out-of-network superbill

Now the same clinician sees a different client four times in one month, all by video, with the client at home in Texas throughout. This client has a PPO with out-of-network benefits and wants to seek reimbursement, so the document has to be a superbill. Everything from the invoice stays, and four things get added: a diagnosis code, the telehealth place of service, the telemedicine modifier, and the full rendering-provider identity block the payer needs in order to match the claim to a real licensee.

Place of service 10 is correct here because the client was at home. Had the client joined from their workplace or another non-home location, the right code would have been 02 instead. The 95 modifier is included because many plans still want synchronous telemedicine flagged explicitly, and a plan that does not want it will simply ignore it — the asymmetry of risk favours including it.

Above the line items, the rendering-provider block carries the clinician's name and LPC credential, the BHEC license number, the individual NPI, the practice address, and the practice tax ID. The Paid column matters more than clinicians expect: an out-of-network plan is reimbursing the client for money the client has already spent, so a superbill that shows charges but no payments gives the adjuster nothing to reimburse against.

Because both the clinician and the client were physically in Texas for every session, no interstate question arises. Had the client travelled out of state mid-course, the counselor could not have leaned on the Counseling Compact to cover it — Texas is not a member — and would have needed to check the destination state's own rules before continuing.

Common mistakes on Texas superbills

• An LPC-Associate printing "LPC". This is the single most common error in Texas, and it is a misrepresentation of rank. Print the title BHEC's verification page shows today, not the one you are working toward.
• Coding a video session as POS 11. POS 11 means the client was physically in your office. Use 10 for a client at home and 02 otherwise.
• Assuming a compact covers you. Texas is outside both the Counseling Compact and the Social Work Licensure Compact. PSYPACT is the exception, and it applies only to psychologists holding current authorizations.
• Adding sales tax to a session line. Psychotherapy is not an enumerated taxable service. A non-zero tax line invites questions you do not need.
• Typing the license number from memory. Copy it from BHEC verify each time you set up a new client's paperwork. A transposed digit is an automatic claim rejection.
• Omitting the amount paid. Without it, the payer cannot calculate the client's reimbursement and will usually return the superbill rather than ask.

FAQ

What board number do I print?

Use the number from BHEC license search. LPC-Associates must use that title, not LPC.

Is Texas in the Counseling Compact?

No, as of 2026-09-14. Texas is absent from the official compact map. Check counselingcompact.gov before any interstate counseling claim.

Does Texas tax therapy sessions?

Professional psychotherapy is generally outside the enumerated taxable-services list in Tax Code §151.0101 / Pub. 96-259. Leave tax at $0 on session-only invoices unless you sell taxable items or services.

Can a Texas psychologist use PSYPACT?

Texas participates in PSYPACT. You still need active PSYPACT authorizations and must follow Commission rules. Verify on psypact.gov—do not assume membership alone authorizes a specific visit.

What do OON payers want on a Texas superbill?

Name + Texas credential, BHEC license number, NPI, DOS, CPT, ICD-10, POS, charges, payments, and telehealth modifiers when required.

Why these sources matter

Every factual claim on this page traces back to a primary source: Texas Behavioral Health Executive Council (BHEC), the official interstate-compact commissions, and Texas's own tax authority. That matters because out-of-network billing guidance ages badly — license titles get renamed, compacts add members, and taxable-service lists get amended. Secondhand summaries lag those changes by months. The links below are the records themselves, with the date each was checked, so you can re-verify anything here before you rely on it for a claim.

References

1. Board / BHEC. Retrieved 2026-09-14. bhec.texas.gov
2. License verify. Retrieved 2026-09-14. bhec.texas.gov
3. Counseling Compact map. Retrieved 2026-09-14. counselingcompact.gov
4. BHEC compact legislation note. Retrieved 2026-09-14. bhec.texas.gov
5. PSYPACT map. Retrieved 2026-09-14. psypact.gov
6. Social Work Compact jurisdictions. Retrieved 2026-09-14. swcompact.org
7. Tax (Comptroller Pub. 96-259). Retrieved 2026-09-14. comptroller.texas.gov

Disclaimer

Educational formatting only—not legal, billing, tax, or clinical advice. Confirm licensure and telehealth authority with BHEC, compact status with the official commissions, payer rules with the insurer, and tax treatment with the Texas Comptroller or a qualified preparer.