Individual provider Active NPI

Lesajean M Jennings, PSY.D.

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1245300706
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
25562 Issued in TX
Practice address
1319 Live Oak St
Houston, TX 77003-4408
Phone
(713) 225-2280
Fax
(713) 225-5787
NPI assigned
Nov 9, 2006
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 25562 TX Primary
School Psychologist 103TS0200X 30396 TX

Addresses

Primary practice location

1319 Live Oak St
Houston, TX 77003-4408

Mailing address

1319 Live Oak St
Houston, TX 77003-4408
Phone (713) 225-2280

Other identifiers 1

IdentifierTypeStateIssuer
113623601MedicaidTX

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081105000464 TX Practitioner - Clinical Psychologist 1951478296 Reassigns benefits to 1 organization
Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1319 Live Oak St
Houston, TX 77003-4408
Phone (713) 225-2280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30396TXMDSchool Psychologist
25562TXMDPsychiatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lesajean M. Jennings, Psy.D., PLLC Clinical Current Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Lesajean M. Jennings, Psy.D. Clinical PastSince Jan 1, 1990 Accepting new patients

Locations

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

1319 Live Oak St
Houston, TX 77003
Phone (713) 225-2280

Organizations & group practices 3

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1245300706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 LIVE OAK ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770034408",
            "telephone_number": "713-225-2280",
            "fax_number": "713-225-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 LIVE OAK ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770034408",
            "telephone_number": "713-225-2280",
            "fax_number": "713-225-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "LESAJEAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25562",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "30396",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113623601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.