Individual provider Active NPI

Alicia Walls-Boston, LPC-A, PH.D, M.ED

  • Professional Counselor
  • Fresno, TX
National Provider Identifier
1639076524
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
104436 Issued in TX
Practice address
1807 Acorn Glen TRL
Fresno, TX 77545-6128
Phone
(806) 239-5127
NPI assigned
Oct 22, 2026
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 104436 TX Primary

Addresses

Primary practice location

1807 Acorn Glen TRL
Fresno, TX 77545-6128

Mailing address

1807 Acorn Glen TRL
Fresno, TX 77545-6128
Phone (806) 239-5127

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

NPI Registry JSON

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1639076524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 ACORN GLEN TRL",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775456128",
            "telephone_number": "806-239-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 ACORN GLEN TRL",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775456128",
            "telephone_number": "806-239-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS-BOSTON",
        "first_name": "ALICIA",
        "credential": "LPC-A, PH.D, M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "104436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.