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JOHNNY ADAMS ALVAREZ CONEJO
NPI 1114438520
Marriage & Family Therapist in Truckee, CA

Active since October 12, 2017PECOS Enrolled
10775 PIONEER TRL STE 215, TRUCKEE, CA 96161(916) 520-4050 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 28, 2022, Mar 12, 2019, Oct 12, 2017 (3 updates tracked since 2017).

About Johnny Adams Alvarez Conejo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNNY ADAMS ALVAREZ CONEJO (NPI 1114438520) is an individual marriage & family therapist in Truckee, California, licensed in California (132684) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1114438520
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameJOHNNY ADAMS ALVAREZ CONEJO
Location Address10775 PIONEER TRL STE 215Truckee, CA 96161-0234
Mailing Address10775 Pioneer Trl Ste 215Truckee, CA 96161-0234 · (916) 520-4050
Phone(916) 520-4050
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 12, 2017
Last NPPES UpdateSeptember 28, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
✔ NPI 1114438520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 132684
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
10775 PIONEER TRL STE 215, Truckee, CA 96161
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnny Adams Alvarez Conejo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082183207
PECOS Enrollment IDI20260518001932
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Johnny Alvarez Conejo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
167 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA ANNE TAFT MSW, LMHC, LPC
Counselor (Mental Health)
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
TAMMY LYNN HARPER MS, MAC, LMHC, SUDP
Counselor (Mental Health)
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
KUAN HSUAN TU MSW, ACSW
Social Worker (Clinical)
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
AYSIA JACKSON
Marriage & Family Therapist
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
DR. LINDARA L HALLORAN MD
Pediatrics
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
ELISHA ANTUANE DENTON MA, APCC
Counselor (Professional)
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
SARA SAMADI MA, LMFT
Marriage & Family Therapist
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266
ANDREA SALENA PEREA MA, AMFT
Marriage & Family Therapist
10775 PIONEER TRL STE 215
TRUCKEE, CA 96161
Placer County (415) 424-4266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnny Alvarez Conejo's NPI number?

The NPI number for Johnny Alvarez Conejo is 1114438520. It was assigned to this individual provider in the NPPES registry on October 12, 2017.

Where is Johnny Alvarez Conejo located?

Johnny Alvarez Conejo practices at 10775 Pioneer Trl Ste 215, Truckee, CA 96161. The listed phone number is (916) 520-4050.

What is Johnny Alvarez Conejo's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Johnny Alvarez Conejo enrolled in Medicare?

Yes. Johnny Alvarez Conejo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Johnny Alvarez Conejo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnny Alvarez Conejo reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johnny Alvarez Conejo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Johnny Alvarez Conejo was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.