Active NPI
Peter E Tichenor, M.F.T.
- Marriage & Family Therapist
- Berkeley, CA
National Provider Identifier
1922218916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 27564
- Practice address
- 1708 Shattuck Ave
Berkeley, CA 94709-1700 - Phone
- (510) 525-2411
- NPI assigned
- May 22, 2007
- Last updated
- Sep 20, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 27564 | CA | Primary |
Addresses
Primary practice location
1708 Shattuck Ave
Berkeley, CA 94709-1700
Mailing address
514 Cornell Ave
Albany, CA 94706-1209
Phone (510) 525-2411
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 27564 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789862400000",
"number": "1922218916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 CORNELL AVE",
"city": "ALBANY",
"state": "CA",
"postal_code": "947061209",
"telephone_number": "510-525-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 SHATTUCK AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947091700",
"telephone_number": "510-525-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TICHENOR",
"first_name": "PETER",
"middle_name": "E",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2026-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 27564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
- Through the Looking Glass
- Wanda Sue Thrower, CERTIFICATION
- Bryan Thunstedt, RN
- Hannah Lauren Thurau, MSW
- Alexandra Thurston
- Sarah Tiffin
- Bertha Jeanean Tillison-Mejia
- Aqueelah Tillman, CNM
- Timothy a Fitzer MD Inc a Professional Medical Corporation (Berkeley Family Practice Medical Group)
- Marilyn Tims
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.