Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. James Derse, LCMHCA

Individual provider Mental Health Counselor · NPI 1477441624

Mr. James Derse, LCMHCA is a Mental Health Counselor in Wake Forest, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

10580 Ligon Mill Rd Ste 210
Wake Forest, NC 27587-6090
Phone: (919) 263-9592
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A21604 (NC)

Record details

NPI number1477441624
Entity typeIndividual (Type 1)
GenderMale
Credentials LCMHCA
Sole proprietorNo
NPI enumeratedJune 26, 2025
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

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