Organization Active NPI

Colorado Nutrition Counseling, LLC

  • Registered Dietitian
  • Arvada, CO
National Provider Identifier
1104360346
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1039668 Issued in IN
Legal business name
COLORADO NUTRITION COUNSELING, LLC
Practice address
8600 Ralston Rd Ste 112
Arvada, CO 80002-2373
Phone
(720) 722-3438
Fax
(844) 364-8548
NPI assigned
Dec 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Carrie Weitzel, RDNPI 1679023758
Title
Registered Dietitian
Phone
(720) 722-3438

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 1039668 IN Primary

Addresses

Primary practice location

8600 Ralston Rd Ste 112
Arvada, CO 80002-2373

Mailing address

8600 Ralston Rd Ste 112
Arvada, CO 80002-2373
Phone (720) 722-3438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170206001291 CO Part B Supplier - Clinic/Group Practice 0547543159 Receives reassigned benefits from 1 practitioner
Practice locations: Arvada, CO

National Provider Directory

National Provider Directory

Locations

8600 Ralston Rd
Ste 112
Arvada, CO 80002
Phone (720) 722-3438

8600 Ralston Rd
Ste 108
Arvada, CO 80002

7456 W 5th Ave
Ste 300
Lakewood, CO 80226
Phone (720) 441-2144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1104360346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 RALSTON RD STE 112",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022373",
            "telephone_number": "720-722-3438",
            "fax_number": "844-364-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 RALSTON RD STE 112",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022373",
            "telephone_number": "720-722-3438",
            "fax_number": "844-364-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO NUTRITION COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "WEITZEL",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "720-722-3438",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "1039668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.