Organization Active NPI

Your Journey Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lilburn, GA
National Provider Identifier
1083405211
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
YOUR JOURNEY BEHAVIORAL HEALTH LLC
Practice address
4652 Lawrenceville Hwy NW Ste 101
Lilburn, GA 30047-3623
Phone
(973) 420-2814
NPI assigned
May 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Natasha Giles, PMHNPNPI 1598231458
Title
NP
Phone
(973) 420-2814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4652 Lawrenceville Hwy NW Ste 101
Lilburn, GA 30047-3623

Mailing address

863 Flat Shoals Rd SE Ste C
Conyers, GA 30094-6649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250919000758 GA Part B Supplier - Clinic/Group Practice 7911401153 Receives reassigned benefits from 1 practitioner
Practice locations: Loganville, GA

National Provider Directory

National Provider Directory

Locations

863 Flat Shoals Rd SE
Ste C
Conyers, GA 30094
Phone (301) 580-5838

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1083405211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 FLAT SHOALS RD SE STE C",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4652 LAWRENCEVILLE HWY NW STE 101",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473623",
            "telephone_number": "973-420-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR JOURNEY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "973-420-2814",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.