Individual provider Active NPI

Jacqueline Burnett-Brown, PHD, LMFT

  • Marriage & Family Therapist
  • Atlanta, GA
National Provider Identifier
1700538550
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001943 Issued in GA
Practice address
4675 N Shallowford Rd Ste 202
Atlanta, GA 30338-6309
Phone
(678) 481-8332
NPI assigned
Jan 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001943 GA Primary

Addresses

Primary practice location

4675 N Shallowford Rd Ste 202
Atlanta, GA 30338-6309

Mailing address

4675 N Shallowford Rd Ste 202
Atlanta, GA 30338-6309
Phone (678) 481-8332

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://briarpatchsolutions.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251029004060 GA Practitioner - Marriage and Family Therapist 6204325251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher Dennis MD PLLCGroup PAC ID 7416254990, 72 clinicians

Practice addresses (Care Compare)

11340 Lakefield Dr
Suite 200
Johns Creek, GA 30097-2456
Phone (888) 515-3834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFT001943GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Dennis MD PLLC CurrentSince Oct 6, 2025 Accepting new patients
Briarpatch Solutions, LLC Marriage & Family Therapist CurrentSince Sep 25, 2022 Accepting new patients
Sunflower Counseling Center PastSince Jul 24, 2022 Accepting new patients

Locations

2801 Buford Hwy NE
Ste 501
Brookhaven, GA 30329
Phone (404) 428-6920

1420 Milstead Rd NE
Conyers, GA 30012
Phone (770) 483-3902

4675 N Shallowford Rd
Ste 202
Dunwoody, GA 30338
Phone (404) 594-1059

11340 Lakefield Dr
Ste 200
Johns Creek, GA 30097
Phone (678) 407-2159

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.

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1700538550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 N SHALLOWFORD RD STE 202",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386309",
            "telephone_number": "678-481-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 N SHALLOWFORD RD STE 202",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386309",
            "telephone_number": "678-481-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT-BROWN",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://briarpatchsolutions.org",
            "affiliation": "N",
            "endpointDescription": "Practice Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "web page",
            "address_1": "4675 N Shallowford Rd Ste 202",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303386309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.