Active NPI
Alicia Walsh, M.S., LMFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1962638387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 49263
- Practice address
- 6280 Amber Lake Ave
San Diego, CA 92119-3415 - Phone
- (619) 398-2894
- NPI assigned
- Jun 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 60269764 | WA | |
| Marriage & Family Therapist | 106H00000X | 203770 | TX | |
| Marriage & Family Therapist | 106H00000X | 49263 | CA | Primary |
Addresses
Primary practice location
6280 Amber Lake Ave
San Diego, CA 92119-3415
Mailing address
6280 Amber Lake Ave
San Diego, CA 92119-3415
Phone (619) 398-2894
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203770 | TX | MD | Marriage & Family Therapist |
| 60269764 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaf Community Services of San Diego Inc | Past | Accepting new patients | |
| Grow Through Life Counseling, Inc. | Marriage & Family Therapist | 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.
-
- Community/Behavioral Health Agency
- National City, CA
- NPI 1093940561
-
- Marriage & Family Therapist
- San Diego, CA
- NPI 1801385745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1962638387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6280 AMBER LAKE AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921193415",
"telephone_number": "619-398-2894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6280 AMBER LAKE AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921193415",
"telephone_number": "619-398-2894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "ALICIA",
"name_prefix": "Ms.",
"credential": "M.S., LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-01",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "60269764",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "203770",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "49263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.