Lesajean M. Jennings, Psy.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

25562 Issued in TX

Legal business name

LESAJEAN M. JENNINGS, PSY.D.

Practice address

1319 Live Oak St
Houston, TX 77003-4408

Phone

(713) 225-2280

Fax

(713) 225-5787

NPI assigned

Apr 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Lesajean McDonald Jennings, PSY.D.NPI 1245300706

Title

Licensed Psychologist / Owner

Phone

(713) 225-2280

Specialties & licenses 1

Addresses

Other identifiers 7

Practitioners 1

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

• Lesajean M Jennings, PSY.D.

  • Clinical Psychologist
  • Houston, TX
  • NPI 1245300706
  NPD (past) Authorized official

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1972860369",
    "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": {
        "organization_name": "LESAJEAN M. JENNINGS, PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "LESAJEAN",
        "authorized_official_middle_name": "MCDONALD",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST / OWNER",
        "authorized_official_telephone_number": "713-225-2280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10020773",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR",
            "identifier": "107094",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "135153",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "0062BT",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "167799",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPCARE",
            "identifier": "JENNI-0006",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1136236-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leroy B. Shaw, M.D., P.a.
• Angela Leroy, BCBA
• Michelle Leroy, LPC, LCDCI
• Patrick Piya Lertdilok, M.D.
• Les Yarmush Mdpa
• Lesajean M. Jennings, Psy.D., PLLC
• James R Lesch, DDS
• Michael David Lesem, MD
• Michael Christopher Lesher, M.ED., LPC
• Lesi Nleko

• Clinical Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.