Active NPI
Jeremy Kadeem Brown, MBA, LMHC,NCC
- Mental Health Counselor
- Davie, FL
National Provider Identifier
1356051650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH21514
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Current | 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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Hollywood, FL
- NPI 1609884154
-
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
-
- Specialist
- Hollywood, FL
- NPI 1407897960
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.