Chris Tickner, MA, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

42576 Issued in CA

Practice address

1191 E Walnut St
Suite #104
Pasadena, CA 91106-1868

Phone

(818) 568-6982

NPI assigned

Jul 17, 2006

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

Opted out of Medicare

Yes, effective Mar 31, 2025 through Mar 31, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Tree of Life Healing, Inc.

  dba California Integrative Therapy

  • Group Psychotherapy Psychologist
  • Pasadena, CA
  • NPI 1659199339
  NPD Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1699793687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10522 FERNGLEN AVE",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910421552",
            "telephone_number": "818-352-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 E WALNUT ST",
            "address_2": "SUITE #104",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061868",
            "telephone_number": "818-568-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICKNER",
        "first_name": "CHRIS",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "42576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie J. Thurston
• Kasalyn Thuvamontolrat, NP
• Patrick J Thyne Jr., MASTERS DEGREE IN PS
• Jared Tiamzon
• Elsie Tibbs
• Stephanie Tienda
• Sela Tiet, PHARM.D.
• Kellett Tighe
• Til Services, Inc. (St. Gregory ADHC)
• Claire Tilem, MD

• Marriage & Family Therapist in Pasadena, CA
• Providers in Pasadena, 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 Jan 22, 2009; 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.

Verify at the official NPI Registry.