JAMIE LEE DICKERSON M.A. LPC
NPI 1417385733
Counselor - Professional in Allegan, MI

Active since October 23, 2013PECOS EnrolledAccepts Medicare Assignment
540 JENNER DR, ALLEGAN, MI 49010(269) 673-3384 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2026, Aug 2, 2021 (2 updates tracked since 2021).

About Jamie Lee Dickerson M.a. Lpc NPPES

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

JAMIE LEE DICKERSON M.A. LPC (NPI 1417385733) is an individual professional provider in Allegan, Michigan, licensed in Michigan (6401013974) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Byron Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1417385733
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJAMIE LEE DICKERSONCredential: M.A. LPC
Location Address540 JENNER DRAllegan, MI 49010-1517
Mailing Address3333 Deposit Dr Ne Ste 120Grand Rapids, MI 49546-1468 · (616) 805-3660
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 23, 2013
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1417385733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401013974
540 JENNER DR, Allegan, MI 49010

Other Names 1

Former Name (1)Jamie Lee Vandevusse Llpc, Llmft

Secondary Practice Location 1

Location 1325 84th St SW Ste 102Byron Center, MI 49315-9350 · Phone (616) 805-3660

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jamie Lee Dickerson M.a. Lpc 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 ID648621912
PECOS Enrollment IDI20240111000316
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jamie Dickerson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
540 JENNER DR
Allegan, MI 49010
  • Reassigned Medicare billing, Michigan enrollment
  • 33 clinicians in this Medicare group
Mental Health
360 E BELTLINE AVE NE STE 100
Grand Rapids, MI 49506
  • Reassigned Medicare billing, Michigan enrollment
  • 287 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
540 JENNER DR
ALLEGAN, MI 49010
Counselor (Mental Health)
540 JENNER DR
ALLEGAN, MI 49010
Social Worker (Clinical)
540 JENNER DR
ALLEGAN, MI 49010
Peer Specialist
540 JENNER DR
ALLEGAN, MI 49010
Peer Specialist
540 JENNER DR
ALLEGAN, MI 49010
Social Worker (Clinical)
540 JENNER DR
ALLEGAN, MI 49010
Social Worker (Clinical)
540 JENNER DR
ALLEGAN, MI 49010
Registered Nurse (Addiction (Substance Use Disorder))
540 JENNER DR
ALLEGAN, MI 49010

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 Jamie Dickerson's NPI number?

The NPI number for Jamie Dickerson is 1417385733. It was assigned to this individual provider in the NPPES registry on October 23, 2013. The provider is also known as Jamie Lee Vandevusse Llpc, Llmft.

Where is Jamie Dickerson located?

Jamie Dickerson practices at 540 Jenner Dr, Allegan, MI 49010. The listed phone number is (269) 673-3384.

What is Jamie Dickerson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jamie Dickerson enrolled in Medicare?

Yes. Jamie Dickerson 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.

Which organizations bill Medicare for Jamie Dickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Dickerson reassigns Medicare benefits to 2 organizations: Allegan County Community Mental Health Services (Allegan, MI) and Counseling Center Of West Michigan, LLC (Grand Rapids, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jamie Dickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jamie Dickerson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Jamie Dickerson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jamie Dickerson was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.