Active NPI
Princess Walsh, LMFT
- Psychologist
- Hawthorne, CA
National Provider Identifier
1114485356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 36065
- Practice address
- 12700 Inglewood Ave # 601
Hawthorne, CA 90250-4293 - Phone
- (818) 528-5667
- NPI assigned
- Mar 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 110503 | CA | |
| Psychologist | 103T00000X | 36065 | CA | Primary |
Addresses
Primary practice location
12700 Inglewood Ave # 601
Hawthorne, CA 90250-4293
Mailing address
12700 Inglewood Ave # 601
Hawthorne, CA 90250-4293
Phone (818) 528-5667
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 |
|---|---|---|---|
| 110503 | CA | MD | Clinical Social Worker |
| 36065 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for New Directions, Inc. | Mental Health | Past | Accepting new patients |
| Stephen M Pumphrey Licensed Clinical Social Workers Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Laguna Hills, CA
- NPI 1578121190
-
- Clinical Social Worker
- Laguna Hills, CA
- NPI 1386862969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1114485356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12700 INGLEWOOD AVE # 601",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902504293",
"telephone_number": "818-528-5667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12700 INGLEWOOD AVE # 601",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902504293",
"telephone_number": "818-528-5667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "PRINCESS",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-06",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "110503",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "36065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.