NPIMap

Organization Active NPI

Community Diet Counseling Service, Inc.

  • Registered Dietitian
  • Chapel Hill, NC
National Provider Identifier
1225259716
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L000035 Issued in NC
Legal business name
COMMUNITY DIET COUNSELING SERVICE, INC.
Practice address
111 Cloister CT
Suite 212
Chapel Hill, NC 27514-2295
Phone
(919) 967-9400
Fax
(919) 408-0643
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marcia Ann Mills, R.D., LDNNPI 1770748824
Title
V. President
Phone
(919) 967-9400

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 MULTIPLE SINGLE SPECIALTY GROUP 133V00000X L000035 NC Primary

Addresses

Primary practice location

111 Cloister CT
Suite 212
Chapel Hill, NC 27514-2295

Mailing address

111 Cloister CT
Suite 212
Chapel Hill, NC 27514-2295
Phone (919) 967-9400

Other names 1

  • Profile Associates Doing business as

National Provider Directory

National Provider Directory

Locations

111 Cloister Ct
Ste 212
Chapel Hill, NC 27514
Phone (919) 967-9400

Practitioners & affiliated clinicians

Practitioners 2

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225259716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLOISTER CT",
            "address_2": "SUITE 212",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142295",
            "telephone_number": "919-967-9400",
            "fax_number": "919-408-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CLOISTER CT",
            "address_2": "SUITE 212",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142295",
            "telephone_number": "919-967-9400",
            "fax_number": "919-408-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DIET COUNSELING SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "V. PRESIDENT",
        "authorized_official_telephone_number": "919-967-9400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D., LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L000035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Profile Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.