Active NPI
Brenda Cornejo
- Addiction (Substance Use Disorder) Counselor
- Van Nuys, CA
National Provider Identifier
1023823754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- RT1444740526
- Practice address
- 14530 Sylvan St
Van Nuys, CA 91411-2324 - Phone
- (818) 582-8832
- Fax
- (818) 582-8836
- NPI assigned
- Feb 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RT1444740526 | CA | Primary |
Addresses
Primary practice location
14530 Sylvan St
Van Nuys, CA 91411-2324
Mailing address
10564 Haddon Ave Apt 607
Pacoima, CA 91331-2974
Phone (323) 818-8673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT1444740526 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Teen Project, Inc. | Current | Accepting new patients | |
| The Teen Project, Inc. | Past | Accepting new patients | |
| The Teen Project, Inc. | Past | Accepting new patients | |
| The Teen Project, Inc. | Past | Accepting new patients |
Locations
8142 Sunland Blvd
Sun Valley, CA 91352
Phone (213) 248-2225
Organizations & group practices 4
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Sun Valley, CA
- NPI 1457908618
-
- Substance Abuse Rehabilitation Facility
- Sun Valley, CA
- NPI 1194677880
-
- Children's Substance Abuse Rehabilitation Facility
- Trabuco Canyon, CA
- NPI 1609345743
-
- Substance Abuse Rehabilitation Facility
- Van Nuys, CA
- NPI 1881080216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1023823754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10564 HADDON AVE APT 607",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913312974",
"telephone_number": "323-818-8673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14530 SYLVAN ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914112324",
"telephone_number": "818-582-8832",
"fax_number": "818-582-8836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNEJO",
"first_name": "BRENDA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-10",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RT1444740526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.