Active NPI
Journey Through Life, PLLC
- Community/Behavioral Health Agency
- Raleigh, NC
National Provider Identifier
1962715631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 5551
- Legal business name
- JOURNEY THROUGH LIFE, PLLC
- Practice address
- 3722 Benson Dr
Suite 101
Raleigh, NC 27609-7388 - Phone
- (919) 454-4039
- Fax
- (240) 266-0062
- NPI assigned
- Jul 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Purnell, M.ED, LPC, ACS,EAS-C
- Title
- Clinical Director
- Phone
- (919) 454-4039
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 5551 | NC | Primary |
Addresses
Primary practice location
3722 Benson Dr
Suite 101
Raleigh, NC 27609-7388
Mailing address
3722 Benson Drive
Suite 101
Raleigh, NC 27609-7389
Phone (919) 454-4039
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103406 | Medicaid | NC | |
| 6008151 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473811200000",
"number": "1962715631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3722 BENSON DRIVE",
"address_2": "SUITE 101",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097389",
"telephone_number": "919-454-4039",
"fax_number": "240-266-0062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3722 BENSON DR",
"address_2": "SUITE 101",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097388",
"telephone_number": "919-454-4039",
"fax_number": "240-266-0062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOURNEY THROUGH LIFE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-22",
"last_updated": "2016-09-14",
"status": "A",
"authorized_official_last_name": "PURNELL",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "919-454-4039",
"authorized_official_credential": "M.ED, LPC, ACS,EAS-C"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "5551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103406",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6008151",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.