Individual provider Active NPI

Alicia Walsh, M.S., LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1962638387
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
49263 Issued in CA
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

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
203770TXMDMarriage & Family Therapist
60269764WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deaf Community Services of San Diego Inc PastSince Nov 20, 2019 Accepting new patients
Grow Through Life Counseling, Inc. Marriage & Family Therapist PastSince Feb 2, 2025 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.

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.

Verify at the official NPI Registry.