Active NPI
Andrea Garraway Counseling PLLC
- Community/Behavioral Health Agency
- Charlotte, NC
National Provider Identifier
1750870408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Garraway, LCAS, LCMHCS, CCS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154753101 | Medicaid | NC |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | garrawaya@aol.com | ||
| CONNECT URL | garrawaya@aol.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Gastonia, NC
- NPI 1154753101
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.