Jessie Brown Therapy Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

JESSIE BROWN THERAPY INC

Practice address

1280 Pearl St
Eugene, OR 97401-3540

Phone

(415) 757-9745

NPI assigned

Nov 14, 2020

Organization subpart

No

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

Authorized official

Name

Jessie Brown

Title

President

Phone

(415) 757-9745

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1605312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605312000000",
    "number": "1689276545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013540",
            "telephone_number": "415-757-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSIE BROWN THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-14",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-757-9745"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT LICENSE",
            "identifier": "105959",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT LICENSE",
            "identifier": "T1436",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Paxton Jernigan
• Samantha Renee Jernstrom
• Ami Jerome-Sletteland
• Tulaasi Jerome, LMT
• Jessica Crowder LLC
• Todd B. Jeter, LCSW, CADC III
• Hillary Lind Jewell
• Mark L Jewell, M.D.
• Aidan Jewett
• Andrea Lynn Jewett, APRN-NP

• Marriage & Family Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2020; 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.