Individual provider Active NPI

Jenella Jenese Brown, MCAP, RMHCI

  • Addiction (Substance Use Disorder) Counselor
  • Port St Lucie, FL
National Provider Identifier
1649977216
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
MCAP.0101162 Issued in FL
Practice address
540 NW University Blvd Ste 204
Port St Lucie, FL 34986-2281
Phone
(772) 494-7770
Fax
(772) 258-4480
NPI assigned
Feb 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH26964 FL
Professional Counselor 101YP2500X MCAP.0101162 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X MCAP.0101162 FL Primary

Addresses

Primary practice location

540 NW University Blvd Ste 204
Port St Lucie, FL 34986-2281

Mailing address

PO Box 572
Port Richey, FL 34673-0572

Other identifiers 2

IdentifierTypeStateIssuer
MCAP.0101162OtherFLCERTIFIED MASTER'S LEVEL ADDICTION PROFESSIONAL
IMH26964OtherFLREGISTERED MENTAL HEALTH COUNSELOR INTERN

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

LicenseStateTypeSpecialty
IMH26964FLMDMental Health Counselor
MCAP.0101162FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Much Love Is Required Home Care, LLC Adult Companion Current Accepting new patients
Name It & Claim It Enterprise, LLC Addiction (Substance Use Disorder) Current Accepting new patients
Married to an Addict, LLC Addiction (Substance Use Disorder) CurrentSince Jul 28, 2025 Accepting new patients
Shardae Tripp Counseling LLC CurrentSince Sep 10, 2025 Accepting new patients

Locations

540 NW University Blvd
Ste 204
Port St Lucie, FL 34986
Phone (772) 418-7797

Organizations & group practices 4

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": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1649977216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 572",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346730572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NW UNIVERSITY BLVD STE 204",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862281",
            "telephone_number": "772-494-7770",
            "fax_number": "772-258-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JENELLA",
        "middle_name": "JENESE",
        "credential": "MCAP, RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH26964",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MCAP.0101162",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MCAP.0101162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED MASTER'S LEVEL ADDICTION PROFESSIONAL",
            "identifier": "MCAP.0101162",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED MENTAL HEALTH COUNSELOR INTERN",
            "identifier": "IMH26964",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.