Jackson Delord Sousa, LMFT., CSAT-S., CST.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 49583 Issued in CA

Practice address

2660 Townsgate Rd Ste 520
Westlake Village, CA 91361-5712

Phone

(805) 279-2088

Fax

(805) 230-2210

NPI assigned

Oct 16, 2013

Sex

Male

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

State licenses

Practice roles

Locations

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.

• Marriage Counseling Ctr Sexual Health

  • Mental Health Counselor
  • Westlake Village, CA
  • NPI 1194411256
  NPD Authorized official

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1588092126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 TOWNSGATE RD STE 520",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615712",
            "telephone_number": "805-279-2088",
            "fax_number": "805-230-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 TOWNSGATE RD STE 520",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615712",
            "telephone_number": "805-279-2088",
            "fax_number": "805-230-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUSA",
        "first_name": "JACKSON",
        "middle_name": "DELORD",
        "credential": "LMFT., CSAT-S., CST.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-16",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC  49583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.