Individual provider Active NPI

Zane Mikael Julien, MS, MFT

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1275788622
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 45035 Issued in CA
Practice address
1703 Termino Ave Ste 105
Long Beach, CA 90804-2126
Phone
(562) 480-2096
Fax
(562) 567-0579
NPI assigned
Nov 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 45035 CA Primary

Addresses

Primary practice location

1703 Termino Ave Ste 105
Long Beach, CA 90804-2126

Mailing address

4712 E 2ND St # 736
Long Beach, CA 90803-5309
Phone (562) 480-2096

Other names 1

  • Susan Michele Walshe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250226003036 CA Practitioner - Marriage and Family Therapist 3173043783 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFC 45035CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Dec 28, 2024 Accepting new patients
Susan Walshe, MFT, Inc Marriage & Family Therapist CurrentSince May 12, 2024 Accepting new patients

Locations

13337 South St
Cerritos, CA 90703
Phone (562) 244-9522

6621 E Pacific Coast Hwy
Ste 220
Long Beach, CA 90803
Phone (562) 548-1248

4712 E 2nd St
Long Beach, CA 90803
Phone (818) 937-0882

512 Redondo Ave
Ste C
Long Beach, CA 90814
Phone (562) 438-1240

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1275788622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 E 2ND ST # 736",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035309",
            "telephone_number": "562-480-2096",
            "fax_number": "562-567-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 TERMINO AVE STE 105",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042126",
            "telephone_number": "562-480-2096",
            "fax_number": "562-567-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIEN",
        "first_name": "ZANE",
        "middle_name": "MIKAEL",
        "credential": "MS, MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-26",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 45035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WALSHE",
            "middle_name": "MICHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.