Active NPI
McKenzie Greenhouse, RMHCI, LGPC
- Counselor
- Sanford, FL
National Provider Identifier
1922750348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LGP12649
- Practice address
- 506 S Palmetto Ave
Sanford, FL 32771-1928 - Phone
- (407) 951-4919
- NPI assigned
- Jan 26, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH22124 | FL | |
| Counselor | 101Y00000X | LGP12649 | MD | Primary |
Addresses
Primary practice location
506 S Palmetto Ave
Sanford, FL 32771-1928
Mailing address
506 S Palmetto Ave
Sanford, FL 32771-1928
Phone (407) 951-4919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 5, 2024 through Mar 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP12649 | MD | MD | Counselor |
| IMH22124 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1922750348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 S PALMETTO AVE",
"city": "SANFORD",
"state": "FL",
"postal_code": "327711928",
"telephone_number": "407-951-4919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 S PALMETTO AVE",
"city": "SANFORD",
"state": "FL",
"postal_code": "327711928",
"telephone_number": "407-951-4919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENHOUSE",
"first_name": "MCKENZIE",
"name_prefix": "Mrs.",
"credential": "RMHCI, LGPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-26",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH22124",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LGP12649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.