Active NPI
Javier Cornejo Jr., CPSW
- Addiction (Substance Use Disorder) Counselor
- Las Cruces, NM
National Provider Identifier
1699663526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CTB-2026-0720
- Practice address
- 530 N Telshor Blvd Ste C
Las Cruces, NM 88011-8243 - Phone
- (575) 215-3389
- NPI assigned
- Jun 27, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CTB-2026-0720 | NM | Primary |
| Peer Specialist | 175T00000X | 1565 | NM |
Addresses
Primary practice location
530 N Telshor Blvd Ste C
Las Cruces, NM 88011-8243
Mailing address
816 Livesay Street
Pobox 1482
Anthony, NM 88021
Phone (915) 352-8932
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 |
|---|---|---|---|
| 1565 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1699663526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 LIVESAY STREET",
"address_2": "POBOX 1482",
"city": "ANTHONY",
"state": "NM",
"postal_code": "88021",
"telephone_number": "915-352-8932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 N TELSHOR BLVD STE C",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118243",
"telephone_number": "575-215-3389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNEJO",
"first_name": "JAVIER",
"name_suffix": "Jr.",
"credential": "CPSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-27",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "CTB-2026-0720",
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NM",
"license": "1565",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.