Jeanna M Morshead-Metelica, MSE, LPC, CSAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

5806-125 Issued in WI

Practice address

85565 8 Point LN
Bayfield, WI 54814-4479

Phone

(715) 600-0346

NPI assigned

Mar 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Equine Connection LLC

  • Counselor
  • Bayfield, WI
  • NPI 1912497488
  NPD Authorized official

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673740800000",
    "number": "1619945516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85565 8 POINT LN",
            "city": "BAYFIELD",
            "state": "WI",
            "postal_code": "548144479",
            "telephone_number": "715-600-0346",
            "fax_number": "715-256-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85565 8 POINT LN",
            "city": "BAYFIELD",
            "state": "WI",
            "postal_code": "548144479",
            "telephone_number": "715-600-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSHEAD-METELICA",
        "first_name": "JEANNA",
        "middle_name": "M",
        "credential": "MSE, LPC, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2023-01-15",
        "certification_date": "2023-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "12128",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "5806-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara L Kolesar, LPC-IT, SAC-IT
• Jennifer Kupczyk, PHARM.D.
• Gail Marie Lemieux, SAC
• Michelle Lynn Macdaniels
• Theresa Matusiewicz Popovich, R.D.H
• Dawn Nixon, PSY.D.
• Jacqueline Noha, RN
• Bailey Nyara, MS, CCC-SLP
• Orthopedic & Spine Therapy of Poplar SC
• James E Peacock, CSAC, ICS

• All providers in Bayfield, WI
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2023; 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.