Individual provider Active NPI

Shanise Mok, AMFT

  • Marriage & Family Therapist
  • Los Gatos, CA
National Provider Identifier
1053220186
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
164358 Issued in CA
Practice address
987 University Ave Ste 22
Los Gatos, CA 95032-7640
Phone
(408) 722-3770
NPI assigned
Sep 3, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 164358 CA Primary

Addresses

Primary practice location

987 University Ave Ste 22
Los Gatos, CA 95032-7640

Mailing address

PO Box 320214
Los Gatos, CA 95032-0103

Other practice location 1

220 California Ave Ste 105
Palo Alto, CA 94306-1627
Phone (650) 206-9448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1053220186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320214",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950320103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 UNIVERSITY AVE STE 22",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327640",
            "telephone_number": "408-722-3770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 California Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943061627",
            "country_code": "US",
            "telephone_number": "650-206-9448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOK",
        "first_name": "SHANISE",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "164358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.