Active NPI
Valerie Lynn Counselman, MPH, RD, LD
- Registered Dietitian
- Warner Robins, GA
National Provider Identifier
1073766275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD002328
- Practice address
- 1601 Watson Blvd
Warner Robins, GA 31093-3431 - Phone
- (478) 542-7953
- NPI assigned
- Oct 31, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD002328 | GA | Primary |
Addresses
Primary practice location
1601 Watson Blvd
Warner Robins, GA 31093-3431
Mailing address
1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 542-7953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD002328 | GA | MD | Registered Dietitian |
| 002328 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooperative Healthcare Services Inc | Past | Accepting new patients | |
| Southeast Georgia Health System, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Brunswick, GA
- NPI 1417979402
-
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225411200000",
"number": "1073766275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 WATSON BLVD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310933431",
"telephone_number": "478-542-7953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 WATSON BLVD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310933431",
"telephone_number": "478-542-7953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUNSELMAN",
"first_name": "VALERIE",
"middle_name": "LYNN",
"credential": "MPH, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-31",
"last_updated": "2008-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD002328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.