Active NPI
Brian Darnell Berkley Sr.
- Addiction (Substance Use Disorder) Counselor
- Lincoln Heights, CA
National Provider Identifier
1669178455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 3619 N Mission Rd
Lincoln Heights, CA 90031-3136 - Phone
- (213) 721-0010
- NPI assigned
- Feb 2, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Community Health Worker | 172V00000X | |||
| Peer Specialist | 175T00000X |
Addresses
Primary practice location
3619 N Mission Rd
Lincoln Heights, CA 90031-3136
Mailing address
3619 N Mission Rd
Lincoln Heights, CA 90031-3136
Phone (213) 721-0010
Other practice location 1
11027 Burbank Blvd
North Hollywood, CA 91601-2431
Phone (818) 985-8323
Other practice location 2
4445 Burns Ave
Los Angeles, CA 90029-2702
Phone (323) 222-1440
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Health & Rehabilitation Program | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Lynwood, CA
- NPI 1467775221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1669178455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3619 N MISSION RD",
"city": "LINCOLN HEIGHTS",
"state": "CA",
"postal_code": "900313136",
"telephone_number": "213-721-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3619 N MISSION RD",
"city": "LINCOLN HEIGHTS",
"state": "CA",
"postal_code": "900313136",
"telephone_number": "213-721-0010"
}
],
"practiceLocations": [
{
"address_1": "11027 Burbank Blvd",
"address_purpose": "LOCATION",
"city": "North Hollywood",
"state": "CA",
"postal_code": "916012431",
"country_code": "US",
"telephone_number": "818-985-8323",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4445 Burns Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900292702",
"country_code": "US",
"telephone_number": "323-222-1440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERKLEY",
"first_name": "BRIAN",
"middle_name": "DARNELL",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-02",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.