REBECA GRIJALVA
NPI 1780467464
Counselor - Mental Health in New York, NY

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since August 16, 2023

41 UNION SQ W STE 1328, NEW YORK, NY 10003(646) 470-7109 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 23, 2024, Dec 8, 2023, Aug 16, 2023 (3 updates tracked since 2023).

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About Rebeca Grijalva NPPES

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

REBECA GRIJALVA (NPI 1780467464) is an individual mental health provider in New York, New York, licensed in New York (013845) and active in the NPI registry since August 2023. She maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1780467464

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameREBECA GRIJALVA

Location Address41 UNION SQ W STE 1328New York, NY 10003-3252

Mailing Address41 Union Sq W Ste 1328New York, NY 10003-3252 · (646) 470-7109

Phone(646) 470-7109

Sole ProprietorYes

Enumeration DateAugust 16, 2023

Last NPPES UpdateSeptember 23, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2024

✔ NPI 1780467464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 013845

41 UNION SQ W STE 1328, New York, NY 10003

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Secondary Practice Location 1

Location 118 E 16th St Rm 502BNew York, NY 10003-3111 · Phone (512) 574-9994

Other Providers at the Same Location NPPES 18

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

ELISA GIZZO MA MFT

Marriage & Family Therapist