Active NPI
Clover Nutrition Counseling LLC
- Registered Dietitian
- Vancouver, WA
National Provider Identifier
1114895026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- CLOVER NUTRITION COUNSELING LLC
- Practice address
- 101 E 8TH St Ste 110
Vancouver, WA 98660-3294 - Phone
- (360) 499-3259
- NPI assigned
- Oct 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justine Meyer, RD
- Title
- Manager
- Phone
- (360) 499-3259
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary | ||
| Gerontological Nutrition Registered Dietitian | 133VN1101X |
Addresses
Primary practice location
101 E 8TH St Ste 110
Vancouver, WA 98660-3294
Mailing address
2512 E Evergreen Blvd # 399
Vancouver, WA 98661-4323
Phone (360) 499-3259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2512 E Evergreen Blvd
Vancouver, WA 98661
Phone (360) 773-8964
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": "1761177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761177600000",
"number": "1114895026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 E EVERGREEN BLVD # 399",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986614323",
"telephone_number": "360-499-3259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E 8TH ST STE 110",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986603294",
"telephone_number": "360-499-3259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLOVER NUTRITION COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-23",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A",
"authorized_official_last_name": "MEYER",
"authorized_official_first_name": "JUSTINE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "360-499-3259",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "133VN1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Gerontological",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.