Janae Dickerson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1154 S 15TH St
Louisville, KY 40210-1567

Phone

(804) 605-5318

NPI assigned

Apr 16, 2026

Last updated

Apr 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prodigal Son Life Builders

  • Community/Behavioral Health Agency
  • Louisville, KY
  • NPI 1740145044

  Case Manager/Care Coordinator

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776470400000",
    "number": "1235073529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 S 15TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402101567",
            "telephone_number": "804-605-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 S 15TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402101567",
            "telephone_number": "804-605-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "JANAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Dickens, MD, MBA
• Jenna A Dickenson, PSY.D.
• Dickerson Family Enterprise, LLC (Dee's Senior Home Care)
• Donald Richard Dickerson III, MD STUDENT
• Jacob Dickerson
• Kevin Dickerson, APRN
• Crystal Dickey
• Kevin Juhno Dickhaut, D.C.
• Ida Dickie
• Andrew Garrett Dickinson

• Peer Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Peer Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.