Individual provider Active NPI

Marilou Shakouri

  • Mental Health Counselor
  • Camarillo, CA
National Provider Identifier
1366334179
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
210229278 Issued in CA
Practice address
888 Lantana St
Camarillo, CA 93010-3023
Phone
(805) 383-5335
NPI assigned
Jul 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 210229278 CA Primary

Addresses

Primary practice location

888 Lantana St
Camarillo, CA 93010-3023

Mailing address

5750 Fieldcrest Dr
Camarillo, CA 93012-4303
Phone (805) 383-5320

Other practice location 1

5750 Fieldcrest Dr
Camarillo, CA 93012-4303
Phone (805) 383-5320

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
210229278CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1366334179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 FIELDCREST DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930124303",
            "telephone_number": "805-383-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 LANTANA ST",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103023",
            "telephone_number": "805-383-5335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5750 Fieldcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930124303",
            "country_code": "US",
            "telephone_number": "805-383-5320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAKOURI",
        "first_name": "MARILOU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "210229278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.