Individual provider Active NPI

Monica S Jackson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Humble, TX
National Provider Identifier
1003638164
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1072170 Issued in TX
Practice address
93 Isaacks Rd
Humble, TX 77338-4740
Phone
(281) 446-7159
NPI assigned
Oct 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1072170 TX Primary

Addresses

Primary practice location

93 Isaacks Rd
Humble, TX 77338-4740

Mailing address

12500 Barker Cypress Rd Apt 3205
Cypress, TX 77429-8243

Other practice location 1

19500 State Highway 249 Ste 120
Houston, TX 77070-3027
Phone (347) 885-8360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250307003423 TX Practitioner - Nurse Practitioner 5799206629 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

19500 St Hwy 249
Suite 120
Houston, TX 77070-3027
Phone (844) 824-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1072170TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Health, PLLC Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Med Management Associates CurrentSince May 1, 2025 Accepting new patients
Nadia McFarlane MD PLLC CurrentSince Jan 6, 2025 Accepting new patients
Your Safe Place LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

19500 State Highway 249
Ste 120
Houston, TX 77070
Phone (281) 374-4500

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

2626 S Loop W
Ste 425
Houston, TX 77054
Phone (713) 581-3350

633 E Fernhurst Dr
Ste 304
Katy, TX 77450
Phone (346) 361-0100

4006 Vista Rd
Pasadena, TX 77504
Phone (713) 943-1592

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.monicajackson@136732.advancedmd-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1003638164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 BARKER CYPRESS RD APT 3205",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774298243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 ISAACKS RD",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384740",
            "telephone_number": "281-446-7159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19500 State Highway 249 Ste 120",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770703027",
            "country_code": "US",
            "telephone_number": "347-885-8360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MONICA",
        "middle_name": "S",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1072170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.