Johnny Henderson
NPI 1154207843 · Addiction (Substance Use Disorder) Counselor · San Rafael, CA
Johnny Henderson is a Addiction (Substance Use Disorder) Counselor provider in San Rafael, CA (NPI 1154207843).
Provider details
- NPI number
- 1154207843
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 16180 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-08-15
- Last updated
- 2025-08-15
- Certified
- 2025-08-15
Frequently asked questions
- What is Johnny Henderson's NPI number?
- Johnny Henderson's National Provider Identifier (NPI) is 1154207843, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johnny Henderson's specialty?
- Johnny Henderson is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Johnny Henderson located?
- Johnny Henderson's practice location on file with NPPES is 134 Picnic Ave, San Rafael, CA 94901-5003.
- What is Johnny Henderson's phone number?
- The practice phone number listed in the NPPES registry for Johnny Henderson is (415) 410-9388.
- Is Johnny Henderson's NPI active?
- Yes — Johnny Henderson's NPI (1154207843) is active in the NPPES registry as of the last update on 2025-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.