Individual provider Active NPI

Mary Louise Burau, MFT

  • Mental Health Counselor
  • Oxnard, CA
National Provider Identifier
1679744577
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
45378 Issued in CA
Practice address
1911 Williams Dr Ste 110
Oxnard, CA 93036-2665
Phone
(805) 981-4200
Fax
(805) 981-3341
NPI assigned
Mar 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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 45378 CA Primary

Addresses

Primary practice location

1911 Williams Dr Ste 110
Oxnard, CA 93036-2665

Mailing address

1911 Williams Dr Ste 110
Oxnard, CA 93036-2665
Phone (805) 981-4200

Other names 1

  • Mrs. Marie Louise Burau Other name

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
45378CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Jun 1, 2023 Accepting new patients
County of Ventura PastSince Jun 15, 2021 Accepting new patients
San Fernando Valley Community Mental Health Center, Inc. PastSince Jan 14, 2024 Accepting new patients

Locations

1911 Williams Dr
Ste 110
Oxnard, CA 93036
Phone (805) 981-4200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1679744577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 WILLIAMS DR STE 110",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362665",
            "telephone_number": "805-981-4200",
            "fax_number": "805-981-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 WILLIAMS DR STE 110",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362665",
            "telephone_number": "805-981-4200",
            "fax_number": "805-981-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURAU",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "45378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "BURAU",
            "middle_name": "LOUISE",
            "prefix": "MRS.",
            "credential": "MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.