Individual provider Active NPI

Brenda Cornejo

  • Addiction (Substance Use Disorder) Counselor
  • Van Nuys, CA
National Provider Identifier
1023823754
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
RT1444740526 Issued in CA
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

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RT1444740526CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Teen Project, Inc. CurrentSince Feb 23, 2025 Accepting new patients
The Teen Project, Inc. PastSince Feb 23, 2025 Accepting new patients
The Teen Project, Inc. PastSince Jun 30, 2024 Accepting new patients
The Teen Project, Inc. PastSince Nov 24, 2024 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.

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.

Verify at the official NPI Registry.