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MR. JACOB BROWN MA
NPI 1831616994
Marriage & Family Therapist in Sausalito, CA

Active since August 29, 2017Opted out of Medicare · through Jan 1, 2028
378 SAUSALITO BLVD, SAUSALITO, CA 94965(415) 845-1940 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2023, Jun 11, 2019, Jun 16, 2018 and 1 more (4 updates tracked since 2017).

About Mr. Jacob Brown Ma NPPES

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

MR. JACOB BROWN MA (NPI 1831616994) is an individual marriage & family therapist in Sausalito, California, licensed in California (141837) and active in the NPI registry since August 2017. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1831616994
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. JACOB BROWNCredential: MA
Location Address378 SAUSALITO BLVDSausalito, CA 94965-2327
Mailing Address378 Sausalito BlvdSausalito, CA 94965-2327 · (415) 845-1940
Phone(415) 845-1940
Sole ProprietorYes
Enumeration DateAugust 29, 2017
Last NPPES UpdateDecember 5, 20234 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
✔ NPI 1831616994 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 CA · 141837
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.
378 SAUSALITO BLVD, Sausalito, CA 94965
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Other Identifiers 1

OtherA0901989CA · California Drivers License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Jacob Brown Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 1831616994. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Jacob Brown located?

Jacob Brown practices at 378 Sausalito Blvd, Sausalito, CA 94965. The listed phone number is (415) 845-1940.

What is Jacob Brown's specialty?

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

Is Jacob Brown enrolled in Medicare?

No. Jacob Brown has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jacob Brown was last updated on December 5, 2023. 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.