Individual provider Active NPI

Michael D. Tollefson

  • School Counselor
  • San Juan Capistrano, CA
National Provider Identifier
1578490231
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
260112286 Issued in CA
Practice address
33122 Valle Rd
San Juan Capistrano, CA 92675-4859
Phone
(949) 234-9200
Fax
(949) 493-8729
NPI assigned
May 6, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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 260112286 CA Primary

Addresses

Primary practice location

33122 Valle Rd
San Juan Capistrano, CA 92675-4859

Mailing address

33916 Golden Lantern Apt B
Dana Point, CA 92629-2300
Phone (702) 505-3060

Other practice location 1

29070 Shark Bay
Laguna Niguel, CA 92677-1542
Phone (949) 234-5360

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

State licenses

LicenseStateTypeSpecialty
260112286CAMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Capistrano Unified School District School Past Accepting new patients
Capistrano Unified School District 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.

NPI Registry JSON

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1578490231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33916 GOLDEN LANTERN APT B",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292300",
            "telephone_number": "702-505-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33122 VALLE RD",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754859",
            "telephone_number": "949-234-9200",
            "fax_number": "949-493-8729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29070 Shark Bay",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926771542",
            "country_code": "US",
            "telephone_number": "949-234-5360",
            "fax_number": "949-249-2069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLLEFSON",
        "first_name": "MICHAEL",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "260112286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.