Organization Active NPI

Lumen Behavioral LLC

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1811892862
Registry record updated Oct 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LUMEN BEHAVIORAL LLC
Practice address
1301 Chattahoochee Ave NW Apt 313
Atlanta, GA 30318-3222
Phone
(404) 618-3425
NPI assigned
Oct 10, 2026
Last updated
Oct 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2026

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

Authorized official

Name
Mikayla Roane
Title
Member
Phone
(404) 618-3425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1301 Chattahoochee Ave NW Apt 313
Atlanta, GA 30318-3222

Mailing address

8735 Dunwoody PL Ste 8331
Sandy Springs, GA 30350-2995
Phone (404) 618-3425

NPI Registry JSON

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

{
    "created_epoch": "1791590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791590400000",
    "number": "1811892862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8735 DUNWOODY PL STE 8331",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303502995",
            "telephone_number": "404-618-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CHATTAHOOCHEE AVE NW APT 313",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303183222",
            "telephone_number": "404-618-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMEN BEHAVIORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-10",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "ROANE",
        "authorized_official_first_name": "MIKAYLA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "404-618-3425"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.