Active NPI
Julie Bassem Hermena
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1649188269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 164420
- Practice address
- 12405 Venice Blvd # 123
Los Angeles, CA 90066-3803 - Phone
- (310) 723-7235
- NPI assigned
- Sep 1, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 23164 | CA | |
| Marriage & Family Therapist | 106H00000X | 164420 | CA | Primary |
Addresses
Primary practice location
12405 Venice Blvd # 123
Los Angeles, CA 90066-3803
Mailing address
12405 Venice Blvd # 123
Los Angeles, CA 90066-3803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1649188269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12405 VENICE BLVD # 123",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900663803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12405 VENICE BLVD # 123",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900663803",
"telephone_number": "310-723-7235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMENA",
"first_name": "JULIE",
"middle_name": "BASSEM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "23164",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "164420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.