DR. JACQUELINE BURNETT-BROWN PHD, LMFT
NPI 1700538550
Marriage & Family Therapist in Atlanta, GA

Q: What is Jacqueline Burnett-brown's NPI number?

The NPI number for Jacqueline Burnett-brown is 1700538550. It was assigned to this individual provider in the NPPES registry on January 24, 2022.

Q: What is Jacqueline Burnett-brown's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since January 24, 2022PECOS EnrolledAccepts Medicare Assignment

4675 N SHALLOWFORD RD STE 202, ATLANTA, GA 30338(678) 481-8332 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2025, Sep 18, 2022, Jan 24, 2022 (3 updates tracked since 2022).

On this page

About Dr. Jacqueline Burnett-brown Phd, Lmft NPPES

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

DR. JACQUELINE BURNETT-BROWN PHD, LMFT (NPI 1700538550) is an individual marriage & family therapist in Atlanta, Georgia, licensed in Georgia (MFT001943) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1700538550

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameDR. JACQUELINE BURNETT-BROWNCredential: PHD, LMFT

Location Address4675 N SHALLOWFORD RD STE 202Atlanta, GA 30338-6309

Mailing Address4675 N Shallowford Rd Ste 202Atlanta, GA 30338-6309 · (678) 481-8332

Phone(678) 481-8332

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 24, 2022

Last NPPES UpdateAugust 25, 20253 updates tracked since enumeration

NPPES CertifiedAugust 25, 2025

✔ NPI 1700538550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in GA · MFT001943

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

4675 N SHALLOWFORD RD STE 202, Atlanta, GA 30338

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacqueline Burnett-brown Phd, Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204325251

PECOS Enrollment IDI20251029004060

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.

Other Providers at the Same Location NPPES 3

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

BRIARPATCH SOLUTIONS, LLC

Marriage & Family Therapist

4675 N SHALLOWFORD RD STE 202
DUNWOODY, GA 30338

Dekalb County (404) 594-2564

LATRICIA NICOLE MAY LCSW

Social Worker (Clinical)

4675 N SHALLOWFORD RD STE 202
ATLANTA, GA 30338

Dekalb County (404) 594-1059

TAJANE JAZZ CRUMPLER AMFT

Marriage & Family Therapist

4675 N SHALLOWFORD RD STE 202
ATLANTA, GA 30338

Dekalb County (404) 594-2564

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 Jacqueline Burnett-brown's NPI number?

The NPI number for Jacqueline Burnett-brown is 1700538550. It was assigned to this individual provider in the NPPES registry on January 24, 2022.

Where is Jacqueline Burnett-brown located?

Jacqueline Burnett-brown practices at 4675 N Shallowford Rd Ste 202, Atlanta, GA 30338. The listed phone number is (678) 481-8332.

What is Jacqueline Burnett-brown's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jacqueline Burnett-brown enrolled in Medicare?

Yes. Jacqueline Burnett-brown is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacqueline Burnett-brown was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.