Active NPI
Jennell Marie Brown
- Professional Counselor
- Toledo, OH
National Provider Identifier
1134784341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2203210
- Practice address
- 4405 N Holland Sylvania Rd
Toledo, OH 43623-3529 - Phone
- (567) 777-2808
- NPI assigned
- May 2, 2019
- Last updated
- Jun 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.2002657 | OH | |
| Professional Counselor | 101YP2500X | E.2203210 | OH | Primary |
Addresses
Primary practice location
4405 N Holland Sylvania Rd
Toledo, OH 43623-3529
Mailing address
4405 N Holland Sylvania Rd Ste 102
Toledo, OH 43623-3533
Phone (567) 777-2808
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2002657 | OH | MD | Mental Health Counselor |
| E.2203210 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mending Minds | Current | Accepting new patients | |
| Perrysburg Therapy LLC | Mental Health | Past | Accepting new patients |
| The Willow Center | Past | Accepting new patients |
Locations
4405 N Holland Sylvania Rd
Ste 102
Toledo, OH 43623
Phone (419) 841-0772
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counselor
- Toledo, OH
- NPI 1124959853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1134784341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4405 N HOLLAND SYLVANIA RD STE 102",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233533",
"telephone_number": "567-777-2808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 N HOLLAND SYLVANIA RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233529",
"telephone_number": "567-777-2808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JENNELL",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-02",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.2002657",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2203210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
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.