Organization Active NPI

Journey Through Life, PLLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1962715631
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5551 Issued in NC
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

Updated by the provider on Sep 14, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6103406MedicaidNC
6008151MedicaidNC

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.