Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khalil Cedric Fortenberry, AMFT

Individual provider Marriage & Family Therapist · NPI 1164277869

Khalil Cedric Fortenberry, AMFT is a Marriage & Family Therapist in Oakland, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

920 Peralta St
Oakland, CA 94607-1926
Phone: (510) 899-2192
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 132001 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 132001 (CA)

Record details

NPI number1164277869
Entity typeIndividual (Type 1)
GenderMale
Credentials AMFT
Sole proprietorNo
NPI enumeratedApril 17, 2024
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025

Other providers in Oakland