Karen Lizbeth Rebollo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

84910 Issued in CA

Practice address

2116 Arlington Ave Ste 100
Los Angeles, CA 90018

Phone

(323) 334-9000

NPI assigned

Aug 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1184104374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 ARLINGTON AVE STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900181353",
            "telephone_number": "323-334-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 ARLINGTON AVE STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90018",
            "telephone_number": "323-334-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBOLLO",
        "first_name": "KAREN",
        "middle_name": "LIZBETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "84910",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "84910",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "84910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Law, OD, Inc.
• Jade Remington Rebeil, LMFT
• Howard Albert Reber, MD
• Shira Taylor Rebibo, LMFT
• Darlene Alejandra Rebollo
• Yolanda Rebollo, MD
• Rebuild California Alliance
• Jose C Recasas, RPT
• Karina Recendez Leyva
• Evangelina Recendez, MSW

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, 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 Feb 21, 2020; 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.