The Equine Connection LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

5806-125 Issued in WI

Legal business name

THE EQUINE CONNECTION LLC

Practice address

93600 Little Sand Bay Rd
Bayfield, WI 54814-4610

Phone

(715) 600-0346

NPI assigned

May 10, 2018

Last updated

May 10, 2018By 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

Jeanna Marie Morshead-Metelica, LPC, CSACNPI 1619945516

Title

Owner/President

Phone

(715) 292-7022

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeanna M Morshead-Metelica, MSE, LPC, CSAC

  • Counselor
  • Bayfield, WI
  • NPI 1619945516
  NPD Authorized official

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1912497488",
    "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": "715-292-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93600 LITTLE SAND BAY RD",
            "city": "BAYFIELD",
            "state": "WI",
            "postal_code": "548144610",
            "telephone_number": "715-600-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EQUINE CONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "MORSHEAD-METELICA",
        "authorized_official_first_name": "JEANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "715-292-7022",
        "authorized_official_credential": "LPC, CSAC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "5806-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Elizabeth Reitz, M.D.
• Bernadette Rock, SACIT
• Craig O Shanks, LPC
• Barbara M Tellier, RPH
• Erin A Tenney, C.N.M
• The Lakes Community Health Center, Inc (NorthLakes Community Clinic)
• Valley Birch, LLC
• Janice K Wilber, PHARMD

• Counselor in Bayfield, WI
• Providers in Bayfield, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.