Individual provider Active NPI

Natasha Riley, MS, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1194294371
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC011912 Issued in GA
Practice address
2675 Paces Ferry Rd SE Ste 300
Atlanta, GA 30339-4089
Phone
(470) 601-6076
NPI assigned
Nov 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC011912 GA Primary
Mental Health Counselor 101YM0800X APC006202 GA

Addresses

Primary practice location

2675 Paces Ferry Rd SE Ste 300
Atlanta, GA 30339-4089

Mailing address

2675 Paces Ferry Rd SE Ste 300
Atlanta, GA 30339-4089
Phone (470) 601-6076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
APC006202GAMDMental Health Counselor
LPC011912GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Javery Integrative Wellness Services LLC Professional CurrentSince Aug 1, 2023 Accepting new patients

Locations

2675 Paces Ferry Rd SE
Ste 140
Atlanta, GA 30339
Phone (404) 405-0511

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1542412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1194294371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 PACES FERRY RD SE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394089",
            "telephone_number": "470-601-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 PACES FERRY RD SE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394089",
            "telephone_number": "470-601-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "NATASHA",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-17",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011912",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC006202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.