Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Brown, LPC

Individual provider Professional Counselor · NPI 1356074884

Jacob Brown, LPC is a Mental Health Counselor in Phoenix, Arizona. Qualified in 2022, 4 years ago. Practices with Integrative Psychotherapy and Assessment Services, a 6-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2102 W Bethany Home Rd
Phoenix, AZ 85015-1935
Phone: (602) 774-4745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC-23843 (AZ)
Professional Counselor Taxonomy 101YP2500X · Licence LPC-23843 (AZ)

Record details

NPI number1356074884
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedJuly 1, 2022
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Integrative Psychotherapy And Assessment Services — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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