Yazmeen Nilaja Irving, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15997 Issued in NC

Practice address

901 Paverstone Dr Ste 12
Raleigh, NC 27615-4708

Phone

(919) 995-8995

Fax

(984) 202-2089

NPI assigned

Oct 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• 180 Evolution PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Raleigh, NC
  • NPI 1588498760
  NPD Authorized official

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1669070561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PAVERSTONE DR",
            "address_2": "BOX 12",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154708",
            "telephone_number": "919-995-8995",
            "fax_number": "984-202-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PAVERSTONE DR STE 12",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154708",
            "telephone_number": "919-995-8995",
            "fax_number": "984-202-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVING",
        "first_name": "YAZMEEN",
        "middle_name": "NILAJA",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Stevens Irvine
• Allison Irving, PH.D.
• Barbara H. Irving, LCSW
• Caroline Cody Irving, MSW, LCSWA
• Johanna Serletis Irving, D.D.S.
• Catherine Ann Irwin, M.S., SLP
• Iain Knox Nathaniel Irwin, LFMT
• Philip Isaac, LMBT
• Tyquese Isaac
• Amy Isaacs, PHARM.D.

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; 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.