JESSE DICKINSON MA, LPC
NPI 1659766426
Counselor - Mental Health in Castle Pines, CO

Q: What is Jesse Dickinson's NPI number?

The NPI number for Jesse Dickinson is 1659766426. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Q: What is Jesse Dickinson's specialty?

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

Q: Is Jesse Dickinson enrolled in Medicare?

No. Jesse Dickinson has opted out of Medicare through May 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jesse Dickinson was last updated on March 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 30, 2015Opted out of Medicare · through May 14, 2027

7505 VILLAGE SQUARE DR STE 207, CASTLE PINES, CO 80108(303) 323-4722 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jesse Dickinson Ma, Lpc NPPES

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

JESSE DICKINSON MA, LPC (NPI 1659766426) is an individual mental health provider in Castle Pines, Colorado, licensed in Colorado (0013946) and active in the NPI registry since March 2015. He has opted out of Medicare through May 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659766426

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJESSE DICKINSONCredential: MA, LPC

Location Address7505 VILLAGE SQUARE DR STE 207Castle Pines, CO 80108-3693

Mailing Address9145 Bell Flower WayHighlands Ranch, CO 80126-2745 · (706) 247-3861

Phone(303) 323-4722

Sole ProprietorYes

Enumeration DateMarch 30, 2015

Last NPPES UpdateMarch 6, 2024

NPPES CertifiedMarch 6, 2024

✔ NPI 1659766426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CO · 0013946

7505 VILLAGE SQUARE DR STE 207, Castle Pines, CO 80108

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jesse Dickinson Ma, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 14, 2025 through May 14, 2027.

Opt-Out Effective DateMay 14, 2025

Opt-Out In Effect ThroughMay 14, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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Other Providers at the Same Location NPPES 10

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

CANYONS COUNSELING, LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))