Individual provider Active NPI

Judy Gail White-Jackson, MA, LPC

  • Case Management Agency
  • Houston, TX
National Provider Identifier
1902388333
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
76030 Issued in TX
Practice address
505 N Sam Houston Pkwy E Ste 303
Houston, TX 77060-4086
Phone
(281) 687-7053
Fax
(832) 617-8347
NPI assigned
Sep 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 9899 LA
Case Management Agency 251B00000X 76030 TX Primary
Professional Counselor 101YP2500X 76030 TX

Addresses

Primary practice location

505 N Sam Houston Pkwy E Ste 303
Houston, TX 77060-4086

Mailing address

505 N Sam Houston Pkwy E Ste 303
Houston, TX 77060-4086
Phone (281) 687-7053

Other practice location 1

505 N Sam Houston Pkwy E Ste 303
Houston, TX 77060-4086
Phone (281) 687-7053

Other names 1

  • Judy G White-Jackson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9899LAMDProfessional Counselor
76030TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Triple C Life Changing Encounters Professional Current Accepting new patients
St Health TX, P.a. Past Accepting new patients
Socalreels Past Accepting new patients

Locations

505 N Sam Houston Pkwy E
Ste 303
Houston, TX 77060
Phone (281) 687-7053

505 N Sam Houston Pkwy E
Ste 203
Houston, TX 77060

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1902388333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N SAM HOUSTON PKWY E STE 303",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604086",
            "telephone_number": "281-687-7053",
            "fax_number": "832-617-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N SAM HOUSTON PKWY E STE 303",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604086",
            "telephone_number": "281-687-7053",
            "fax_number": "832-617-8347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 N Sam Houston Pkwy E Ste 303",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770604086",
            "country_code": "US",
            "telephone_number": "281-687-7053",
            "fax_number": "832-617-8347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE-JACKSON",
        "first_name": "JUDY",
        "middle_name": "GAIL",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "9899",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "76030",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "WHITE-JACKSON",
            "middle_name": "G",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.