Jessica Davalos Walsh, M.S., LPC, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4956 Issued in TX

Practice address

3828 Westfield Dr
College Station, TX 77845-7286

Phone

(936) 213-0776

NPI assigned

Apr 19, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1184311102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11296",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778421296",
            "telephone_number": "936-213-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 WESTFIELD DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457286",
            "telephone_number": "936-213-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JESSICA",
        "middle_name": "DAVALOS",
        "credential": "M.S., LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "16437",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "4956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Holder Walker, M.D.
• Laura Ravenel Walker, RN
• Lindsay Reese Walker
• Taylor L Wallace
• Jenna L Walls
• John Henry Walsh
• Nancy W F Wang, MD
• Todd Austin Want, NURSE PRACTITIONER
• Ward Therapies, PC
• Michael Timothy Ward, P.T.

• Marriage & Family Therapist in College Station, TX
• Providers in College Station, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.