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JACOB BROWN
NPI 1114770658
Psychologist - Cognitive & Behavioral in Zeeland, MI

Active since April 05, 2024
201 W WASHINGTON AVE STE 280, ZEELAND, MI 49464(616) 259-5452(616) 236-0875 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob Brown NPPES

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

JACOB BROWN (NPI 1114770658) is an individual cognitive & behavioral provider in Zeeland, Michigan, licensed in Michigan (6362009526) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1114770658
Entity TypeIndividualMale
Primary Taxonomy103TB0200X
Provider Legal NameJACOB BROWN
Location Address201 W WASHINGTON AVE STE 280Zeeland, MI 49464-1074
Mailing Address201 W Washington Ave Ste 280Zeeland, MI 49464-1074 · (616) 259-5452 · Fax (616) 236-0875
Phone(616) 259-5452
Fax(616) 236-0875
Sole ProprietorNo
Enumeration DateApril 5, 2024
NPPES CertifiedApril 5, 2024
✔ NPI 1114770658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in MI · 6362009526
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
201 W WASHINGTON AVE STE 280, Zeeland, MI 49464
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

Medicare enrollment records show Jacob Brown reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Headwaters Counseling, LLC
Same address
Clinical
201 W WASHINGTON AVE STE 280
Zeeland, MI 49464
  • Reassigned Medicare billing, Michigan enrollment
  • 6 clinicians in this Medicare group
NPI 1184172272 (616) 259-5452

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABIGAIL SPOELMA LMSW
Social Worker (Clinical)
201 W WASHINGTON AVE STE 280
ZEELAND, MI 49464
Ottawa County (616) 350-0977
HOLLY POSTMA LMSW
Social Worker (Clinical)
201 W WASHINGTON AVE STE 280
ZEELAND, MI 49464
Ottawa County (616) 259-5452
DR. KEITH ANTHONY LOUWERSE PSYD
Psychologist (Clinical)
201 W WASHINGTON AVE STE 280
ZEELAND, MI 49464
Ottawa County (616) 259-5452
HEADWATERS COUNSELING, LLC
Psychologist (Clinical)
201 W WASHINGTON AVE STE 280
ZEELAND, MI 49464
Ottawa County (616) 259-5452
ANGELA MARIE MOE MA, LPC
Counselor (Professional)
201 W WASHINGTON AVE STE 280
ZEELAND, MI 49464
Ottawa County (616) 259-5452
KAITLYN NICOLE GOULD LMSW
Counselor (Mental Health)
201 W WASHINGTON AVE STE 280
ZEELAND, MI 49464
Ottawa County (616) 259-5452
JON AUSTIN HUFFER
Counselor (Professional)
201 W WASHINGTON AVE STE 280
ZEELAND, MI 49464
Ottawa County (616) 259-5452
KATIE JO BRUINS
Counselor (Professional)
201 W WASHINGTON AVE STE 280
ZEELAND, MI 49464
Ottawa County (616) 259-5452

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 Jacob Brown's NPI number?

The NPI number for Jacob Brown is 1114770658. It was assigned to this individual provider in the NPPES registry on April 5, 2024.

Where is Jacob Brown located?

Jacob Brown practices at 201 W Washington Ave Ste 280, Zeeland, MI 49464. The listed phone number is (616) 259-5452.

What is Jacob Brown's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Jacob Brown enrolled in Medicare?

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

Which organization bills Medicare for Jacob Brown's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Brown reassigns Medicare benefits to Headwaters Counseling, LLC (Zeeland, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Brown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Brown accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Jacob 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 Jacob Brown was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.