Mahagony Ann Shada Garrette, MS, LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-28639 Issued in NC

Practice address

410 N Greensboro St Ste 220
Carrboro, NC 27510-1870

Phone

(919) 966-9803

NPI assigned

May 10, 2023

Last updated

May 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1073203303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N GREENSBORO ST STE 220",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101870",
            "telephone_number": "919-966-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N GREENSBORO ST STE 220",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101870",
            "telephone_number": "919-966-9803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Conner Dr Apt 17",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275147023",
            "country_code": "US",
            "telephone_number": "919-445-1444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6118 Saint Giles St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276127045",
            "country_code": "US",
            "telephone_number": "984-484-0209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRETTE",
        "first_name": "MAHAGONY",
        "middle_name": "ANN SHADA",
        "name_prefix": "Ms.",
        "credential": "MS, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-28639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Walter Furin, FNP
• Tessa Jean Gacovsky, MOT, OTR/L
• Morgan Danielle Gaines, NP
• Joan E Gantz, MA LMFT
• Molly Reynolds Garlington, MSW, LCSW
• Laurie M Gauger, PHD
• Aimee Gaunt, LMBT, L.AC
• Generations Family Practice, PA (Carrboro Family Medicine Center)
• Courtney George, MPH LDN RDN
• Nooshin Ghazi-Moghaddam, RD

• Addiction (Substance Use Disorder) Counselor in Carrboro, NC
• Providers in Carrboro, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.