JACQUETTE SHINEESE BROWN
NPI 1013543750
Counselor - Mental Health in Mesa, AZ

Active since March 13, 2020PECOS Enrolled
1845 S DOBSON RD STE 211, MESA, AZ 85202(520) 251-1575(520) 635-4758 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2023, Mar 13, 2020 (2 updates tracked since 2020).

About Jacquette Shineese Brown NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUETTE SHINEESE BROWN (NPI 1013543750) is an individual mental health provider in Mesa, Arizona, licensed in Arizona (LPC-18852) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mesa.

NPPES Registry Identity

NPI1013543750
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUETTE SHINEESE BROWN
Location Address1845 S DOBSON RD STE 211Mesa, AZ 85202-5663
Mailing Address20987 N John Wayne Pkwy # B104-113Maricopa, AZ 85139-2926 · (520) 251-1575
Fax(520) 635-4758
Sole ProprietorYes
Enumeration DateMarch 13, 2020
Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration
NPPES CertifiedAugust 4, 2023
NPI 1013543750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in AZ · LPC-18852
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6401020212 (MI)
1845 S DOBSON RD STE 211, Mesa, AZ 85202

Secondary Practice Location 1

Location 11845 S. Dobson Road, #211Mesa, AZ 85202 · Phone (520) 251-1575

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacquette Shineese Brown is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquette Brown's NPI number?

The NPI number for Jacquette Brown is 1013543750. It was assigned to this individual provider in the NPPES registry on March 13, 2020.

Where is Jacquette Brown located?

Jacquette Brown practices at 1845 S Dobson Rd Ste 211, Mesa, AZ 85202. The listed phone number is (520) 251-1575.

What is Jacquette Brown's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jacquette Brown enrolled in Medicare?

Yes. Jacquette Brown is registered in the Medicare PECOS enrollment system.

What insurance does Jacquette Brown accept?

Health plans from Blue Cross Blue Shield of Arizona, McLaren Health Plan Community, Oscar Health Plan, Inc., Oscar Insurance Company and Priority Health and 1 other insurer list Jacquette Brown as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacquette Brown was last updated on August 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.