Organization Active NPI

Nutrition Counseling Services

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1376869883
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164004712 Issued in IL
Legal business name
NUTRITION COUNSELING SERVICES
Practice address
410 S Michigan Ave
Ste 631
Chicago, IL 60605-1308
Phone
(312) 235-0050
NPI assigned
Apr 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Authorized official

Name
Jennifer A Vimbor, MS, RD, LDN, CDN
Title
Owner
Phone
(312) 235-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 164004712 IL Primary

Addresses

Primary practice location

410 S Michigan Ave
Ste 631
Chicago, IL 60605-1308

Mailing address

410 South Michigan Avenue
Suite 631
Chicago, IL 60605-1308
Phone (312) 235-0050

Other identifiers 1

IdentifierTypeStateIssuer
3122350050MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Nutrition Counseling Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

410 S Michigan Ave
Ste 631
Chicago, IL 60605
Phone (312) 235-0050

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1376869883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SOUTH MICHIGAN AVENUE",
            "address_2": "SUITE 631",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051308",
            "telephone_number": "312-235-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S MICHIGAN AVE",
            "address_2": "STE 631",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051308",
            "telephone_number": "312-235-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "VIMBOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-235-0050",
        "authorized_official_credential": "MS, RD, LDN, CDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164004712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3122350050",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.