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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OGHENEFEJIRO M ETIBO
NPI 1336763325
Marriage & Family Therapist in New York, NY

Active since June 04, 2020
5 W 19TH ST RM 3R, NEW YORK, NY 10011(510) 712-0016 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 22, 2026, Sep 22, 2021, Aug 21, 2020 and 1 more (4 updates tracked since 2020).

About Oghenefejiro M Etibo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OGHENEFEJIRO M ETIBO (NPI 1336763325) is an individual marriage & family therapist in New York, New York, licensed in California (148142) and active in the NPI registry since June 2020. She maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1336763325
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameOGHENEFEJIRO M ETIBO
Location Address5 W 19TH ST RM 3RNew York, NY 10011-4238
Mailing Address5201 Great America Pkwy, Ste 320Santa Clara, CA 95054
Phone(510) 712-0016
Sole ProprietorNo
Enumeration DateJune 4, 2020
Last NPPES UpdateJuly 22, 20264 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1336763325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 148142
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
5 W 19TH ST RM 3R, New York, NY 10011
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Secondary Practice Location 1

Location 1PO Box 746877Atlanta, GA 30374-6877 · Phone (510) 712-0016

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DANIELLE NICHOLE MCGOWAN LMFT
Marriage & Family Therapist
5 W 19TH ST RM 3R
NEW YORK, NY 10011
New York County (903) 690-4649
SANDRA C FANNING PH.D
Psychologist (Health Service)
5 W 19TH ST RM 3R
NEW YORK, NY 10011
New York County (786) 244-7711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oghenefejiro Etibo's NPI number?

The NPI number for Oghenefejiro Etibo is 1336763325. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Oghenefejiro Etibo located?

Oghenefejiro Etibo practices at 5 W 19th St Rm 3R, New York, NY 10011. The listed phone number is (510) 712-0016.

What is Oghenefejiro Etibo's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Oghenefejiro Etibo was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.