Gerald Brown, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MJ6904 Issued in CA

Practice address

1500 Adams Ave Ste 307
Costa Mesa, CA 92626-3819

Phone

(714) 403-1100

Fax

(949) 574-2600

NPI assigned

Sep 15, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jerry Brown Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1346522323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 NEWPORT BLVD STE 272",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272286",
            "telephone_number": "714-403-1100",
            "fax_number": "949-574-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ADAMS AVE STE 307",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263819",
            "telephone_number": "714-403-1100",
            "fax_number": "949-574-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13132 Studebaker Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CA",
            "postal_code": "906502576",
            "country_code": "US",
            "telephone_number": "562-280-7176",
            "fax_number": "562-262-0735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GERALD",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-15",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MJ6904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MJ6904",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRY",
            "last_name": "BROWN",
            "credential": "MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amelia Ruth Bronson
• Nicolas Brook
• Amy Kathleen Brown, PHARMACIST CLINICIAN
• Anthony Brown, NP
• Blake Brown
• Giovana Brown
• Jeffrey Hugh Brown, O.D.
• Jessica Brown, MS, CCC-SLP
• Jocelyn Amya Brown
• Makenna Noelle Brown

• Marriage & Family Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.