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MISS JAIME LYNN HENDERSON LPCC, LMHC, LCPC
NPI 1497056568
Counselor - Mental Health in Sebastopol, CA

Active since November 05, 2010PECOS Enrolled
4601 DAYWALT RD, SEBASTOPOL, CA 95472(413) 561-5675 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miss Jaime Lynn Henderson Lpcc, Lmhc, Lcpc NPPES

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

MISS JAIME LYNN HENDERSON LPCC, LMHC, LCPC (NPI 1497056568) is an individual mental health provider in Sebastopol, California and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497056568
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS JAIME LYNN HENDERSONCredential: LPCC, LMHC, LCPC
Location Address4601 DAYWALT RDSebastopol, CA 95472-6016
Mailing AddressPo Box 2780Sebastopol, CA 95473-2780 · (413) 561-5675
Phone(413) 561-5675
Sole ProprietorYes
Enumeration DateNovember 5, 2010
Last NPPES UpdateOctober 27, 2023
NPPES CertifiedOctober 27, 2023
✔ NPI 1497056568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4601 DAYWALT RD, Sebastopol, CA 95472
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Jaime Lynn Henderson Lpcc, Lmhc, Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jaime Henderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PC
85 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Grow Healthcare Group PA
2,618 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Massachusetts enrollment
  • 522 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

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 Jaime Henderson's NPI number?

The NPI number for Jaime Henderson is 1497056568. It was assigned to this individual provider in the NPPES registry on November 5, 2010.

Where is Jaime Henderson located?

Jaime Henderson practices at 4601 Daywalt Rd, Sebastopol, CA 95472. The listed phone number is (413) 561-5675.

What is Jaime Henderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jaime Henderson enrolled in Medicare?

Yes. Jaime Henderson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jaime Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaime Henderson reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PC (San Jose, CA) and Grow Healthcare Group PA (Miami, FL). 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 Jaime Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaime Henderson accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Jaime Henderson 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 Jaime Henderson was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.