Individual provider Active NPI

Michael Hellerud, MS, PPS

  • School Counselor
  • Fremont, CA
National Provider Identifier
1013732890
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
220119718 Issued in CA
Practice address
4455 Seneca Park Ave
Fremont, CA 94538-4028
Phone
(510) 657-9155
NPI assigned
Nov 18, 2024
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 220119718 CA Primary

Addresses

Primary practice location

4455 Seneca Park Ave
Fremont, CA 94538-4028

Mailing address

4455 Seneca Park Ave
Fremont, CA 94538-4028
Phone (510) 657-9155

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
220119718CAMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
City of Fremont PastSince Nov 24, 2024 Accepting new patients
City of Fremont PastSince Nov 24, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1013732890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 SENECA PARK AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384028",
            "telephone_number": "510-657-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 SENECA PARK AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384028",
            "telephone_number": "510-657-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLERUD",
        "first_name": "MICHAEL",
        "credential": "MS, PPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "220119718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.