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DR. DAMON TICHENOR JR. PSYD
NPI 1609762004
Psychologist - Clinical in Lexington, KY

Active since June 13, 2025PECOS Enrolled
120 PROSPEROUS PL STE 115, LEXINGTON, KY 40509(859) 368-0609 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Damon Tichenor Jr. Psyd NPPES

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

DR. DAMON TICHENOR JR. PSYD (NPI 1609762004) is an individual clinical provider in Lexington, Kentucky, licensed in Kentucky (295085) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609762004
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DAMON TICHENOR JR.Credential: PSYD
Location Address120 PROSPEROUS PL STE 115Lexington, KY 40509-1866
Mailing Address205 Provincial Way Apt 2Berea, KY 40403-7019 · (859) 693-1053
Phone(859) 368-0609
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 13, 2025
NPPES CertifiedJune 13, 2025
✔ NPI 1609762004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in KY · 295085
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
120 PROSPEROUS PL STE 115, Lexington, KY 40509
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Damon Tichenor Jr. Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961908322
PECOS Enrollment IDI20251003001944
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Damon Tichenor's NPI number?

The NPI number for Damon Tichenor is 1609762004. It was assigned to this individual provider in the NPPES registry on June 13, 2025.

Where is Damon Tichenor located?

Damon Tichenor practices at 120 Prosperous Pl Ste 115, Lexington, KY 40509. The listed phone number is (859) 368-0609.

What is Damon Tichenor's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Damon Tichenor enrolled in Medicare?

Yes. Damon Tichenor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Damon Tichenor was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.