Irene Dormenie Jackson, LCMHC, LCAS-A
NPI 1053927723ActiveIndividual· Counselor, Mental Health· Durham, NC
Counselor, Mental Health (LCMHC, LCAS-A) with Integrative Wellness Solutions PLLC, practicing in Durham, North Carolina. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1053927723 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCMHC, LCAS-A |
| Sole proprietor | Yes |
| NPI issued | Sep 18, 2020 |
| Last updated in NPPES | Oct 24, 2024 |
| Certified by provider | Oct 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 16165 | NC |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | LCAS-26084 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (NC) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Integrative Wellness Solutions PLLCGreensboro, NC · 146 clinicians
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All 596 mental health counselors in Durham · All mental health counselors in North Carolina