Shayna Raeanne Pourkhomami, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

108275 Issued in CA

Practice address

10703 Courtenay LN
Truckee, CA 96161-1642

Phone

(714) 329-7355

NPI assigned

Jun 25, 2026

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

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1356267231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10703 COURTENAY LN",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961611642",
            "telephone_number": "714-329-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10703 COURTENAY LN",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961611642",
            "telephone_number": "714-329-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURKHOMAMI",
        "first_name": "SHAYNA",
        "middle_name": "RAEANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "CA",
            "license": "108275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Murphy Plumb, M.D.
• Melissa Polanco, MSW, LSWAIC
• Mary Anne Polucha, DC
• Perrine Portillo, PSY.D
• Patricia B Post, PT
• Michelle Soraya Pourtabib, MD
• Lisa Marie Powell, MA, LMFT
• Katelyn Price
• Tonique Price
• Gail A Prichard, M.D.

• Counselor in Truckee, CA
• Providers in Truckee, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.