Rebeca Grijalva

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

013845 Issued in NY

Practice address

41 Union SQ W Ste 1328
New York, NY 10003-3252

Phone

(646) 470-7109

NPI assigned

Aug 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• The Loom Wellness LCSW PLLC

  • Clinical Social Worker
  • New York, NY
  • NPI 1255117628
  NPD (past)

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1780467464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNION SQ W STE 1328",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033252",
            "telephone_number": "646-470-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 UNION SQ W STE 1328",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033252",
            "telephone_number": "646-470-7109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 E 16th St Rm 502B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033111",
            "country_code": "US",
            "telephone_number": "512-574-9994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIJALVA",
        "first_name": "REBECA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betina Y Grigoroff, RNC, BSN, CCE, IBCLC
• Elena Grigorovitch
• Zoya Grigoryan, MD
• Maria Grigovich, MD
• Valeria E. Grijalva Cobos, MD
• Danielle Griles
• Roberta Grill Deutsch, D.D.S.
• Beata Grill, NP
• Brandon Mark Grill, MD
• Caroline Grill

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.