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KHALIL CEDRIC FORTENBERRY AMFT
NPI 1164277869
Marriage & Family Therapist in Oakland, CA

Active since April 17, 2024
920 PERALTA ST, OAKLAND, CA 94607(510) 899-2192 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 10, 2025, Apr 17, 2024 (2 updates tracked since 2024).

About Khalil Cedric Fortenberry Amft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHALIL CEDRIC FORTENBERRY AMFT (NPI 1164277869) is an individual marriage & family therapist in Oakland, California, licensed in California (132001) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1164277869
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameKHALIL CEDRIC FORTENBERRYCredential: AMFT
Location Address920 PERALTA STOakland, CA 94607-1926
Mailing Address920 Peralta StOakland, CA 94607-1926 · (510) 899-2192
Phone(510) 899-2192
Sole ProprietorNo
Enumeration DateApril 17, 2024
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1164277869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 132001
Definition
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 132001 (CA)
920 PERALTA ST, Oakland, CA 94607
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ONEISHA PATRICIA DUNSON
Community Health Worker
920 PERALTA ST
OAKLAND, CA 94607
Alameda County (415) 424-9290
PRESCOTT-JOSEPH CENTER FOR COMMUNITY ENHANCEMENT, INC.
Allergy & Immunology (Allergy)
920 PERALTA ST
OAKLAND, CA 94607
Alameda County (510) 208-5651
SONNY RAY VICENTE RIOS
Case Manager/Care Coordinator
920 PERALTA ST
OAKLAND, CA 94607
Alameda County (510) 773-1909
SPENCER WEIR MSN, FNP
Nurse Practitioner (Family)
920 PERALTA ST
OAKLAND, CA 94607
Alameda County (510) 763-1880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khalil Fortenberry's NPI number?

The NPI number for Khalil Fortenberry is 1164277869. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Where is Khalil Fortenberry located?

Khalil Fortenberry practices at 920 Peralta St, Oakland, CA 94607. The listed phone number is (510) 899-2192.

What is Khalil Fortenberry's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Khalil Fortenberry was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.