Active NPI
Jacob Brown
- Professional Counselor
- Fayetteville, AR
National Provider Identifier
1528933223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P2510006
- Practice address
- 510 E Huntsville Rd
Fayetteville, AR 72701-6127 - Phone
- (972) 489-9494
- NPI assigned
- Oct 10, 2025
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P2510006 | AR | Primary |
Addresses
Primary practice location
510 E Huntsville Rd
Fayetteville, AR 72701-6127
Mailing address
510 E Huntsville Rd
Fayetteville, AR 72701-6127
Phone (972) 489-9494
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 |
|---|---|---|---|
| P2510006 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1528933223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 E HUNTSVILLE RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727016127",
"telephone_number": "972-489-9494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E HUNTSVILLE RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727016127",
"telephone_number": "972-489-9494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JACOB",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-10-10",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P2510006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.