Individual provider Active NPI

Jesse Michael Tichenor, LMFT

  • Marriage & Family Therapist
  • Walnut Creek, CA
National Provider Identifier
1659982866
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT144491 Issued in CA
Practice address
1470 Maria LN Ste 460
Walnut Creek, CA 94596-5339
Phone
(510) 883-3463
NPI assigned
Aug 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCC17572 CA
Marriage & Family Therapist 106H00000X LMFT144491 CA Primary

Addresses

Primary practice location

1470 Maria LN Ste 460
Walnut Creek, CA 94596-5339

Mailing address

1470 Maria LN Ste 460
Walnut Creek, CA 94596-5339
Phone (510) 883-3463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPCC17572CAMDProfessional Counselor
LMFT144491CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Family Counseling, PC Marriage & Family Therapist CurrentSince Jan 4, 2026 Accepting new patients

Locations

1470 Maria Ln
Ste 460
Walnut Creek, CA 94596
Phone (510) 883-3463

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1659982866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 MARIA LN STE 460",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965339",
            "telephone_number": "510-883-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 MARIA LN STE 460",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965339",
            "telephone_number": "510-883-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICHENOR",
        "first_name": "JESSE",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC17572",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT144491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.