Irene Dormenie Jackson, LCMHC, LCAS-A
Mental Health Counselor · Durham, NC
Irene Dormenie Jackson, LCMHC, LCAS-A is a mental health counselor with a practice address in Durham, North Carolina, and NPI 1053927723, issued on Sep 18, 2020. Check the license (North Carolina 16165, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Irene Dormenie Jackson
- Credential
- LCMHC, LCAS-A
- Primary taxonomy
- Mental Health Counselor 101YM0800X
- License numbers
- 16165 NC
LCAS-26084 NC
Self-reported in NPPES; status is on the state search - Practice location
- 904 Woodgreen Dr, Durham, NC 27704
- Phone
- (919) 641-8358
- Enumerated
- Sep 18, 2020
- Record last updated
- Oct 24, 2024
- Medicare enrollment
- Enrolled (PECOS I20241205002986); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest mental health counselor records → All 8,858 in North Carolina → Look up another NPI →
Verify Irene Dormenie Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 16165Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Integrative Wellness Solutions PLLCDurham, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Irene Dormenie Jackson among 8,858 mental health counselor records in North Carolina
Irene Dormenie Jackson, LCMHC, LCAS-A is one of 8,858 mental health counselor records with a practice address in North Carolina. 6% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 47% of them.
- NPI issued2020 · 47% of these records are older, 48% newer
- In a Medicare fileYes · 6% of these records are
- In the CMS Doctors and Clinicians fileYes · 11% of these records are
- Graduated2018 · median 2015 among the 931 with a school on file
- Record last updated2024 · 37% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
501 mental health counselor records list a practice address in Durham
They are 501 of the 13,451 NPPES records with a practice address in Durham, and 8,858 mental health counselor records in North Carolina.
All 8,858 in North Carolina → Every provider in Durham → Mental Health Counselor nationwide →
The 8 mental health counselor records with the nearest ZIP codes
- Mary Chapman, LPCDurham, NC 277041619152378
- Nikeya Cole, LPCDurham, NC 277041013288174
- Janis Davis, LPCDurham, NC 277041871815449
- Tashecka DavisDurham, NC 277041710597612
- Victoria Grice, MS, LCMHC, NCCDurham, NC 277041568896827
- Nicole HarperDurham, NC 277041578748471
- Angela Heider, MDDurham, NC 277041720054083
- Brandi Jones, LCMHCSDurham, NC 277041548505092
Common questions
What is Irene Dormenie Jackson, LCMHC, LCAS-A's NPI number?
Irene Dormenie Jackson, LCMHC, LCAS-A's National Provider Identifier (NPI) is 1053927723, issued on Sep 18, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Irene Dormenie Jackson, LCMHC, LCAS-A located?
The NPPES record lists a practice address at 904 Woodgreen Dr, Durham, NC, 27704. Phone: (919) 641-8358. Providers update this record themselves, so call before visiting.
How can I verify Irene Dormenie Jackson, LCMHC, LCAS-A's license?
NPPES lists North Carolina license number 16165, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.