Individual provider Active NPI

Jeremy Kadeem Brown, MBA, LMHC,NCC

  • Mental Health Counselor
  • Davie, FL
National Provider Identifier
1356051650
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21514 Issued in FL
Practice address
5595 S University Dr FL 33328
Davie, FL 33328-5307
Phone
(954) 276-3440
Fax
(954) 276-0060
NPI assigned
Nov 29, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH21514 FL Primary

Addresses

Primary practice location

5595 S University Dr FL 33328
Davie, FL 33328-5307

Mailing address

2900 Corporate Way FL 33025
Miramar, FL 33025-3925
Phone (954) 276-5685

Other practice location 1

6800 Merion Pl
North Lauderdale, FL 33068-3706
Phone (954) 328-6741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403000358 FL Practitioner - Mental Health Counselor 8022475201 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Jan 5, 2026 Accepting new patients
South Broward Hospital District CurrentSince Jan 5, 2026 Accepting new patients

Locations

5595 S University Dr
Davie, FL 33328
Phone (954) 276-3400

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1356051650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY FL 33025",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5595 S UNIVERSITY DR FL 33328",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285307",
            "telephone_number": "954-276-3440",
            "fax_number": "954-276-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 Merion Pl",
            "address_purpose": "LOCATION",
            "city": "North Lauderdale",
            "state": "FL",
            "postal_code": "330683706",
            "country_code": "US",
            "telephone_number": "954-328-6741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JEREMY",
        "middle_name": "KADEEM",
        "credential": "MBA, LMHC,NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-29",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.