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MICHAEL TIDSTRAND BA, MA, LPCC
NPI 1548890544
Counselor - Professional in Winnetka, CA

Active since January 19, 2020
20112 RUNNYMEDE ST UNIT 5, WINNETKA, CA 91306(818) 216-0321 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 19, 2020, Jan 19, 2020 (2 updates tracked since 2020).

About Michael Tidstrand Ba, Ma, Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL TIDSTRAND BA, MA, LPCC (NPI 1548890544) is an individual professional provider in Winnetka, California, licensed in California (LPCC7019) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1548890544
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMICHAEL TIDSTRANDCredential: BA, MA, LPCC
Location Address20112 RUNNYMEDE ST UNIT 5Winnetka, CA 91306-2901
Mailing Address20112 Runnymede St Unit 5Winnetka, CA 91306-2901 · (818) 216-0321
Phone(818) 216-0321
Sole ProprietorNo
Enumeration DateJanuary 19, 2020
Last NPPES UpdateMay 19, 20202 updates tracked since enumeration
NPPES CertifiedMay 19, 2020
✔ NPI 1548890544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · LPCC7019
20112 RUNNYMEDE ST UNIT 5, Winnetka, CA 91306
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Other Identifiers 1

Other000N/a

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Tidstrand's NPI number?

The NPI number for Michael Tidstrand is 1548890544. It was assigned to this individual provider in the NPPES registry on January 19, 2020.

Where is Michael Tidstrand located?

Michael Tidstrand practices at 20112 Runnymede St Unit 5, Winnetka, CA 91306. The listed phone number is (818) 216-0321.

What is Michael Tidstrand's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Michael Tidstrand was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.