JACKSON BROWN (NPI# 1942577119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942577119 |
| Entity Type | Individual |
| Full Name | JACKSON BROWN |
| Credential | M.S. |
| Practice Address |
5118 Park Ave Suite 500 Memphis TN 38117-5720 |
| Mailing Address |
790 Homer St Memphis TN 38122-3404 |
| Practice Telephone | 9014588638 |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 20-3858944 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548737497 | Jackson Batterson Brown | Chiropractor | 705 E Prairie Ave Ste B, Hayden, ID 83835-8640 | 2018-10-30 |
| 1962964767 | Jackson Brown | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2019-04-02 |
| Street Address |
5118 PARK AVE SUITE 500 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38117-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859853 | John T Lee | Optometrist | 5118 Park Ave, Ste 101, Memphis, TN 38117-5710 | 2005-05-31 |
| 1235587957 | Megan Brack | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117-5720 | 2016-06-03 |
| 1811380702 | Memphis Hand Center, Inc | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117 | 2015-03-17 |
| 1083019434 | Stephanie Labrador Chin | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117-5720 | 2014-10-28 |
| 1114334414 | David Parker Gregory | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117-5720 | 2014-07-18 |
| 1841633146 | Melissa Sitton Faires | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117-5720 | 2013-04-17 |
| 1396188678 | Kalen Davis | Social Worker | 5118 Park Ave, Suite 500, Memphis, TN 38117-5720 | 2013-04-16 |
| 1497023345 | Ariane P Arnold | Counselor | 5118 Park Ave, Suite 500, Memphis, TN 38117-5720 | 2011-12-07 |
| 1811264823 | Elizabeth Shelton Hayes | Social Worker | 5118 Park Ave, Suite 500, Memphis, TN 38117-5720 | 2011-11-18 |
| 1467729681 | Candace Grove | Social Worker | 5118 Park Ave, Suite 500, Memphis, TN 38117-5720 | 2011-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
| 1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
| 1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| Find all providers in zip 38117 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449121 | Shanille Bowens | Counselor | 7174 Blue Grouse Ln, Memphis, TN 38125-4407 | 2020-08-29 |
| 1982225124 | Capitol City Family Services | Counselor | 5100 Poplar Ave Ste 202, Memphis, TN 38137-0202 | 2020-04-28 |
| 1114496494 | Debra Evans | Counselor | 6084 Apple Tree Dr Ste 10, Memphis, TN 38115-0305 | 2018-11-16 |
| 1417430323 | Sharon Denise Richardson | Counselor | 6634 Birch Run Ln, Memphis, TN 38115-5208 | 2018-09-07 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1063961696 | George Hale | Counselor | 560 Colonial Rd, Suite 201, Memphis, TN 38117-4019 | 2016-09-23 |
| 1174918502 | Janet Malone | Counselor | 315 Dr Martin Luther King Dr, Memphis, TN 38104 | 2015-04-02 |
| 1992145726 | Danelle Marie Batterton | Counselor | 113 E Monroe St, Memphis, MO 63555-1437 | 2013-06-25 |
| 1922317239 | Damie Eileen Turpin Roberts | Counselor | 3150 Wilcox Ave, Memphis, TN 38111-3427 | 2010-10-04 |
| 1538488937 | Richard Harrell Jr. | Counselor | 2911 Brunswick Rd., Memphis, TN 38133 | 2010-05-25 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.