Mountain Equinox LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MOUNTAIN EQUINOX LLC

Practice address

1554 NE 4TH St
Bend, OR 97701-4240

Phone

(541) 215-9840

NPI assigned

Nov 18, 2019

Last updated

Dec 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachael Schneider, LCSW

Title

Licensed Mental Health Counselor

Phone

(541) 215-9840

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576281600000",
    "number": "1497391197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014240",
            "telephone_number": "541-215-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014240",
            "telephone_number": "541-215-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN EQUINOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "541-215-9840",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Mote
• Motherwise Community Birth Center
• Kylie Danielle Motley
• Brian Mott, MD
• Marie Elise Moulton, MD
• Mountain Medical Group LLC
• Mountain River Counseling and Consulting LLC
• Mountain River Therapy, LLC
• Mountain View Acupuncture, LLC
• Mountain View Naturopathic Medicine, Inc.

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; 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.