Organization Active NPI

Andrea Garraway Counseling PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1750870408
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ANDREA GARRAWAY COUNSELING PLLC
Practice address
4530 Hubbard Falls Dr
Charlotte, NC 28269-2356
Phone
(704) 830-8060
NPI assigned
May 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Andrea Garraway, LCAS, LCMHCS, CCSNPI 1154753101
Title
Supervisor and Psychotherapist
Phone
(704) 830-8060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4530 Hubbard Falls Dr
Charlotte, NC 28269-2356

Mailing address

4530 Hubbard Falls Dr
Charlotte, NC 28269-2356

Other identifiers 1

IdentifierTypeStateIssuer
1154753101MedicaidNC

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL garrawaya@aol.com
CONNECT URL garrawaya@aol.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1750870408",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 HUBBARD FALLS DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692356",
            "telephone_number": "704-830-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA GARRAWAY COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "GARRAWAY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "SUPERVISOR AND PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "704-830-8060",
        "authorized_official_credential": "LCAS, LCMHCS, CCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154753101",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "garrawaya@aol.com",
            "affiliation": "N",
            "address_1": "4530 Hubbard Falls Dr",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282692356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "garrawaya@aol.com",
            "affiliation": "N",
            "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 Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.