Jessica C Brown, PHD, MFT
Individual provider Active NPI Marriage & Family Therapist · Wasilla, AK
NPI 1609396407 · NPPES record last updated Dec 28, 2022
Key facts
- NPI
- 1609396407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- T1436 (OR)
- Practice address
- 2732 S Blaire Dr
Wasilla, AK 99623-0062 - Phone
- (415) 757-9745
- NPI assigned
- Jun 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157605 | AK | MD | Marriage & Family Therapist |
| 105959 | CA | MD | Marriage & Family Therapist |
| T1436 | OR | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upekkha Wellness, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 157605 | AK | |
| Marriage & Family Therapist | 106H00000X | T1436 | OR | Yes |
| Marriage & Family Therapist | 106H00000X | 105959 | CA |
Addresses
Primary practice location
2732 S Blaire Dr
Wasilla, AK 99623-0062
Mailing address
2732 S Blaire Dr
Wasilla, AK 99623-0062
Phone (415) 757-9745
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.drjessiebrown.com |
Other providers in Wasilla, AK
- Kimberly E Browder
- Adam Brown
- Alyssa Eileen Brown
- April Ann Brown
- Danielle Brown
- Kathleen Brown
- Keria Brown
- Kirstalee Rose Brown
- Michelle Lyn Brown
- Nicole A Brown
All providers in Wasilla, AK · Marriage & Family Therapist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.