Active NPI
Jesse Michael Tichenor, LMFT
- Marriage & Family Therapist
- Walnut Creek, CA
National Provider Identifier
1659982866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT144491
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC17572 | CA | MD | Professional Counselor |
| LMFT144491 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creekside Family Counseling, PC | Marriage & Family Therapist | Current | 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.
-
- Marriage & Family Therapist
- Walnut Creek, CA
- NPI 1417813411
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
- Tice Valley Community Healthcare, LLC
- Tice Valley Optical
- Tice Valley Physcial Therapy Inc.
- Tice Valley Physical Therapy and Sports Medicine Inc.
- Tice Valley Residential Care
- Makaiya Tillman
- Tim J Patel DDS Inc
- Christian Ray Timbol, MD
- Laura A. Timmerman, M.D.
- Timothy a Carlton MD a Professional Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.