Active NPI
Tiffany Christchaun Garris, LCAS
- Addiction (Substance Use Disorder) Counselor
- Durham, NC
National Provider Identifier
1962755025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2951-A
- Practice address
- 2146 Charles St
Apt 53
Durham, NC 27707-2977 - Phone
- (919) 808-5540
- NPI assigned
- Oct 25, 2012
- Last updated
- May 3, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2951-A | NC | Primary |
Addresses
Primary practice location
2146 Charles St
Apt 53
Durham, NC 27707-2977
Mailing address
115 E Harden St
Suite 105
Graham, NC 27253-3001
Phone (919) 808-5540
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2951-A | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornucopia Wellness Group, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Graham, NC
- NPI 1871029595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493769600000",
"number": "1962755025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E HARDEN ST",
"address_2": "SUITE 105",
"city": "GRAHAM",
"state": "NC",
"postal_code": "272533001",
"telephone_number": "919-808-5540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2146 CHARLES ST",
"address_2": "APT 53",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072977",
"telephone_number": "919-808-5540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRIS",
"first_name": "TIFFANY",
"middle_name": "CHRISTCHAUN",
"credential": "LCAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2017-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "2951-A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.