Martha Imelda Cornejo, MFTI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1255 Allston Way
Berkeley, CA 94702-1833

Phone

(510) 845-9010

NPI assigned

Oct 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Berkeley Youth Alternatives

  • Community/Behavioral Health Agency
  • Berkeley, CA
  • NPI 1275724742
  NPD (past)
• Berkeley Youth Alternatives

  • Community/Behavioral Health Agency
  • Berkeley, CA
  • NPI 1689424731
  NPD (past)

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1619488657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SUMMERTIME LN",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945851305",
            "telephone_number": "707-290-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 ALLSTON WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947021833",
            "telephone_number": "510-845-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNEJO",
        "first_name": "MARTHA",
        "middle_name": "IMELDA",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malik Cooper
• Rachel Coopersmith
• Christina Lau Corey, MD
• Corne, Hartog, Katz and Minsky
• Luis Alfredo Cornejo, LMFT
• Cornelia M Pessoa, MD
• Lakendra Cornelius, MSN, MPH, APRN, CNM
• Cuidonce Luciana Corona, M.S.
• Mario L Corona, MD
• Anabell Corpuz

• Mental Health Counselor in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.