Active NPI
Pegasus Springs Therapeutic Riding Center
- Counselor
- National City, MI
National Provider Identifier
1801620174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- PEGASUS SPRINGS THERAPEUTIC RIDING CENTER
- Practice address
- 4800 Old State Rd
National City, MI 48748-9644 - Phone
- (989) 820-1787
- NPI assigned
- Aug 29, 2024
- Organization subpart
- No
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Tawas City, MI
- NPI 1588286249
National Provider Directory
National Provider DirectoryNPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Barbara Ann Clare
- Title
- Executive Director
- Phone
- (989) 820-1787
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Clinic/Center | 261Q00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
4800 Old State Rd
National City, MI 48748-9644
Mailing address
4800 Old State Rd
National City, MI 48748-9644
Phone (989) 820-1787
Other names 1
- Pegasus Springs Therapeutic Riding Center
NPI Registry JSON
{
"created_epoch": "1724889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745452800000",
"number": "1801620174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 OLD STATE RD",
"city": "NATIONAL CITY",
"state": "MI",
"postal_code": "487489644",
"telephone_number": "989-820-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 OLD STATE RD",
"city": "NATIONAL CITY",
"state": "MI",
"postal_code": "487489644",
"telephone_number": "989-820-1787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEGASUS SPRINGS THERAPEUTIC RIDING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-29",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A",
"authorized_official_last_name": "CLARE",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "989-820-1787",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pegasus Springs Therapeutic Riding Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pegasus Springs Therapeutic Riding Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in National City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.