James D Brown Jr., PEER SUPPORT SPECIAL

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MPSS-YNIBXU Issued in CA

Practice address

1202 H St Ste D
Modesto, CA 95354-2443

Phone

(209) 408-8848

NPI assigned

Apr 19, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lgbtq Collaborative

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1639965189
  NPD

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

{
    "created_epoch": "1745020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1013703511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 H ST STE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542443",
            "telephone_number": "209-450-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 H ST STE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542443",
            "telephone_number": "209-408-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PEER SUPPORT SPECIAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-19",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "MPSS-YNIBXU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Brown
• Anissa Brown
• Brianna Nicole Brown, PA-C
• Harry E. Brown III, DC
• Jamelle Brown
• Jazmin Jovan Brown
• Kanisha Brown
• Katrina Yvette Brown
• Keeyanah Brown
• Kristin Marie Brown

• Counselor in Modesto, CA
• Providers in Modesto, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2025; 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.