Jaxon Brown Foundation Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

JAXON BROWN FOUNDATION INC

Practice address

3342 State Park Rd
Burkesville, KY 42717-8855

Phone

(606) 688-0072

NPI assigned

May 18, 2026

Last updated

May 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tristan Murphy

Title

Program Director

Phone

(270) 634-2758

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1982533675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3342 STATE PARK RD",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427178855",
            "telephone_number": "606-688-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3342 STATE PARK RD",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427178855",
            "telephone_number": "606-688-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAXON BROWN FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "TRISTAN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "270-634-2758"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Michelle Harris, PTA
• Tonda R Helton, DMD
• Laura E Hill, DMD
• Elizabeth Hurt, LMFT
• Lauren M Janes, APRN
• Annelee Jayme, DMD
• Just for You Case Management
• Just for You Case Management
• Sarah Kate Killman, PTA
• Victoria Kingrey, NP

• Substance Use Disorder Rehabilitation Clinic/Center in Burkesville, KY
• Providers in Burkesville, KY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.