MR. JESSE MICHAEL TICHENOR (NPI# 1659982866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659982866 |
| Entity Type | Individual |
| Full Name | MR. JESSE MICHAEL TICHENOR |
| Credential | AMFT |
| Practice Address |
1250 Pine St Ste 102 Walnut Creek CA 94596-3633 |
| Mailing Address |
339 Strand Ave Pleasant Hill CA 94523-2609 |
| Practice Telephone | 5108833463 |
| Mailing Telephone | 5108833463 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | AMFT122416 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 339 Strand Ave, Pleasant Hill, CA 945232609 | 5108833463 |
| Street Address |
1250 PINE ST STE 102 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-3633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082103 | Brian Jones | Marriage & Family Therapist | 1910 Olympic Blvd # 210a, Walnut Creek, CA 94596-5096 | 2020-08-07 |
| 1588280853 | Kathleen A Dyson | Marriage & Family Therapist | 1939 La Salle Ct, Walnut Creek, CA 94598-1137 | 2020-06-22 |
| 1033730809 | Stuart Lord | Marriage & Family Therapist | 925 Ygnacio Valley Rd Ste 102b, Walnut Creek, CA 94596-3818 | 2020-05-02 |
| 1902436355 | Phyllis Ginsberg | Marriage & Family Therapist | 2950 Buskirk Ave Ste 150, Walnut Creek, CA 94597-6957 | 2020-01-23 |
| 1891336517 | Heather Marinne Campion Mccall | Marriage & Family Therapist | 724 Spartan Ct, Walnut Creek, CA 94597-2684 | 2019-10-03 |
| 1841848231 | Christina Mathieson | Marriage & Family Therapist | 1460 Maria Ln Ste 300, Walnut Creek, CA 94596-5314 | 2019-08-28 |
| 1700342409 | Danielle Nuss Hetrick | Marriage & Family Therapist | 2970 Camino Diablo Ste 100&300, Walnut Creek, CA 94597-4001 | 2019-02-18 |
| 1467918821 | Griselda Oliver Bucio | Marriage & Family Therapist | 1148 Alpine Rd Ste 207, Walnut Creek, CA 94596-4435 | 2019-02-11 |
| 1962967208 | Bay Area Minds Marriage and Family Therapy, Inc | Marriage & Family Therapist | 1460 Maria Ln Ste 310, Walnut Creek, CA 94596-8803 | 2019-01-31 |
| 1932679115 | Teagan B Darnell | Marriage & Family Therapist | 1931 San Miguel Dr Ste 210, Walnut Creek, CA 94596-5368 | 2018-11-29 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
Please comment or provide details below to improve the information on MR. JESSE MICHAEL TICHENOR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.