Individual provider Active NPI

Barbara C Kenerson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Garden Grove, CA
National Provider Identifier
1013779008
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95028063 Issued in CA
Practice address
6151 Cerulean Ave
Garden Grove, CA 92845-2709
Phone
(714) 943-3126
NPI assigned
Jan 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95028063 CA Primary

Addresses

Primary practice location

6151 Cerulean Ave
Garden Grove, CA 92845-2709

Mailing address

453 S Spring St Ste 400
Los Angeles, CA 90013-2074
Phone (818) 570-1058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260210004020 CA Practitioner - Nurse Practitioner 2860971736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brainpower Wellness Institute Nursing Corporation 20 clinicians

Practice addresses (Care Compare)

2230 W Chapman Ave
Suite 212
Orange, CA 92868-2316
Phone (714) 712-0711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95028063CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brainpower Wellness Institute Nursing Corporation Psychiatric/Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Brainiac Medical Corporation Psychiatric/Mental Health CurrentSince Feb 1, 2026 Accepting new patients
Amygdala Medical Corporation Psychiatric/Mental Health PastSince Nov 1, 2023 Accepting new patients

Locations

160 S Old Springs Rd
Ste 135D
Anaheim, CA 92808
Phone (714) 712-0711

160 S Old Springs Rd
Ste 135C
Anaheim, CA 92808

1007 E Cooley Dr
Ste 111
Colton, CA 92324
Phone (909) 429-3244

1101 California Ave
Ste 10018
Corona, CA 92881
Phone (714) 712-0711

2230 W Chapman Ave
Ste 212
Orange, CA 92868
Phone (714) 712-0711

2230 W Chapman Ave
Ste 210C
Orange, CA 92868
Phone (714) 248-3764

2599 E 28th St
Ste 206
Signal Hill, CA 90755
Phone (562) 231-7174

3655 Torrance Blvd
Ste 301
Torrance, CA 90503
Phone (714) 712-0711

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1013779008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 S SPRING ST STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132074",
            "telephone_number": "818-570-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 CERULEAN AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452709",
            "telephone_number": "714-943-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENERSON",
        "first_name": "BARBARA",
        "middle_name": "C",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95028063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.