Provider Type Icon

JENNIFER GRIJALVA NPI 1417476276


NPI Information

NPI: 1417476276
Provider Name: JENNIFER GRIJALVA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1301 PINE AVE
LONG BEACH, CA
ZIP 90813
Phone: (562) 595-1159
Get Directions

Jennifer Grijalva is a mental health counselor in Long Beach, CA. Jennifer Grijalva NPI is 1417476276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1301 PINE AVE
LONG BEACH, CA
ZIP 90813-124
Phone: (562) 595-1159

The enumeration date for this NPI number is 9/13/2017 and was last updated on 1/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health91524CALIFORNIAYes
2101YM0800XCounselorMental HealthNo
3225400000XRehabilitation PractitionerNo
4390200000XStudent in an Organized Health Care Education/Training ProgramNo
5171M00000XCase Manager/Care CoordinatorNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.