Individual provider Active NPI

Latoya C Martin-Jackson, MA, LPCS

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1962790675
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
66427 Issued in TX
Practice address
12238 Queenston Blvd Ste G
Houston, TX 77095-5351
Phone
(281) 746-2704
Fax
(832) 413-5072
NPI assigned
Jul 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 66427 TX Primary

Addresses

Primary practice location

12238 Queenston Blvd Ste G
Houston, TX 77095-5351

Mailing address

12238 Queenston Blvd Ste G
Suite G
Houston, TX 77095-5351
Phone (281) 746-2704

Other identifiers 1

IdentifierTypeStateIssuer
287170902MedicaidTX

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
I20251205004344 TX Practitioner - Mental Health Counselor 5193067858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12238 Queenston Blvd
Suite G
Houston, TX 77095-5350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
66427TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
L J Counseling and Community Services Professional CurrentSince Apr 10, 2017 Accepting new patients
Life'S Journey Counseling and Community Services Past Accepting new patients

Locations

12238 Queenston Blvd
Ste G
Houston, TX 77095
Phone (281) 746-2704

8300 FM 1960 Rd W
Ste 450
Houston, TX 77070
Phone (346) 335-9360

Organizations & group practices 2

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": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1962790675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12238 QUEENSTON BLVD STE G",
            "address_2": "SUITE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955351",
            "telephone_number": "281-746-2704",
            "fax_number": "832-413-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12238 QUEENSTON BLVD STE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955351",
            "telephone_number": "281-746-2704",
            "fax_number": "832-413-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-JACKSON",
        "first_name": "LATOYA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MA, LPCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287170902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.