JOHNNY GREENHAW LPCC
NPI 1639310261
Counselor - Addiction (Substance Use Disorder) in Sacramento, CA
About Johnny Greenhaw Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHNNY GREENHAW LPCC (NPI 1639310261) is an individual addiction (substance use disorder) provider in Sacramento, California, licensed in California (A020520815) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 7
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Johnny Greenhaw Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SACRAMENTO, CA 95821
SACRAMENTO, CA 95821
SACRAMENTO, CA 95821
SACRAMENTO, CA 95821
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 Greenhaw's NPI number?
The NPI number for Johnny Greenhaw is 1639310261. It was assigned to this individual provider in the NPPES registry on March 11, 2009.
Where is Johnny Greenhaw located?
Johnny Greenhaw practices at 2829 Watt Ave, Sacramento, CA 95821. The listed phone number is (916) 382-6612.
What is Johnny Greenhaw's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Johnny Greenhaw enrolled in Medicare?
Yes. Johnny Greenhaw is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Johnny Greenhaw was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Johnny Greenhaw, LPCC · NPI 1639310261
Addiction (Substance Use Disorder) provider in Sacramento, California. Individual provider, active in the CMS NPPES registry since March 11, 2009.
## Identity
- **NPI:** 1639310261 (Entity type: Individual)
- **Enumerated:** March 11, 2009
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** A020520815 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2829 WATT AVE, Sacramento, CA 95821-6200
- **Phone:** (916) 382-6612
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** November 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639310261) · Data from the CMS NPPES public registry.