Axis of Mental Healthcare, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AXIS OF MENTAL HEALTHCARE, PLLC

Practice address

361 N Post Oak LN Apt 243
Houston, TX 77024-5949

Phone

(713) 398-4642

NPI assigned

Jul 16, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Debra Renae Jackson, LCSW-S, LMFTNPI 1154391050

Title

Ceo

Phone

(512) 222-8759

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debra R Jackson, LCSW

  • Clinical Social Worker
  • Houston, TX
  • NPI 1154391050
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1629960463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14205 N MO PAC EXPY STE 570",
            "address_2": "PMB 402404",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787286529",
            "telephone_number": "512-222-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 N POST OAK LN APT 243",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770245949",
            "telephone_number": "713-398-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS OF MENTAL HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-222-8759",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-S, LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.