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

Jacob Mackenzie Brown

Individual provider Professional Counselor · NPI 1609609940

Jacob Mackenzie Brown is a Mental Health Counselor in Robinson, Texas. Qualified in 2021, 5 years ago. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2024

Practice location Address checks out

700 N Robinson Dr
Robinson, TX 76706-5050
Phone: (806) 412-4721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 87193 (TX)

Record details

NPI number1609609940
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 22, 2024
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024
Mailing address4901 Lake Englewood Dr, Waco, TX 76710-2937

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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