Active NPI
Andrea Garraway, MA, LCASA
- Mental Health Counselor
- Gastonia, NC
National Provider Identifier
1154753101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10980
- Practice address
- 2505 Court Dr
Gastonia, NC 28054-2140 - Phone
- (704) 884-2069
- NPI assigned
- Aug 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3354 | NC | |
| Mental Health Counselor | 101YM0800X | 10980 | NC | Primary |
Addresses
Primary practice location
2505 Court Dr
Gastonia, NC 28054-2140
Mailing address
4530 Hubbard Falls Dr
Charlotte, NC 28269-2356
Phone (704) 830-8060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154753101 | Other | NC | MENTAL HEALTH / SUBSTANCE USE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | garrawaycounseling.com | Direct |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3354 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 10980 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrea Garraway Counseling PLLC | Current | Accepting new patients |
Locations
2505 Court Dr
Gastonia, NC 28054
Phone (704) 842-6359
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.
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1750870408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1154753101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 HUBBARD FALLS DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282692356",
"telephone_number": "704-830-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 COURT DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542140",
"telephone_number": "704-884-2069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRAWAY",
"first_name": "ANDREA",
"credential": "MA, LCASA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-01",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "3354",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "10980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH / SUBSTANCE USE",
"identifier": "1154753101",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "garrawaycounseling.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4530 Hubbard Falls Dr",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282692356",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.