=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699602094
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JAMES E BROWN, LMFT, LPC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/07/2026
-----------------------------------------------------
Last Update Date | 05/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15440 MUSEUM RD
-----------------------------------------------------
City | BROOKINGS
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97415-9519
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 541-698-6348
-----------------------------------------------------
Fax | 202-788-6931
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 7085
-----------------------------------------------------
City | BROOKINGS
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97415-0361
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 545-698-6348
-----------------------------------------------------
Fax | 202-788-6931
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JAMES EDWARD BROWN
-----------------------------------------------------
Credential | LMFT, LPC
-----------------------------------------------------
Telephone | 541-698-6348
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------