NPI 1578282646 · live from the CMS NPI Registry
Headwaters Nutrition Counseling, LLC
Dietitian, Registered in Bemidji, MN. National Provider Identifier 1578282646, active.
NPI record
| NPI | 1578282646 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 110 Mag Seven Ct Sw, Bemidji, MN 56601 |
| Practice phone | 218-689-1907 |
| Mailing address | Po Box 634, Brandon, SD 57005 |
| Enumerated | August 23, 2022 |
| Last updated | October 23, 2026 |
| Authorized official | Jami Rokala, Registered Dietitian Nutritionist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.