NPIMap

Organization Active NPI

New Roots Nutrition Counseling, LLC

  • Registered Dietitian
  • Yarmouth, ME
National Provider Identifier
1427728773
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NEW ROOTS NUTRITION COUNSELING, LLC
Doing business as
New Roots Healing Center
Practice address
40 Forest Falls Dr Ste 305
Yarmouth, ME 04096-7010
Phone
(207) 977-4700
Fax
(207) 977-4900
NPI assigned
Sep 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Lauren Withers, MED, RD, LDNPI 1932585213
Title
Dietitian/Owner
Phone
(207) 977-4700

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

40 Forest Falls Dr Ste 305
Yarmouth, ME 04096-7010

Mailing address

40 Forest Falls Dr Ste 305
Yarmouth, ME 04096-7010
Phone (207) 977-4700

Other practice location 1

174 S Freeport Rd Ste 2A
Freeport, ME 04032-6145
Phone (207) 977-4700

Other names 1

  • New Roots Healing Center Doing business as

National Provider Directory

National Provider Directory

Locations

174 S Freeport Rd
Ste 2A
Freeport, ME 04032
Phone (207) 869-9010

50 Forest Falls Dr
Ste 3
Yarmouth, ME 04096
Phone (207) 977-4700

40 Forest Falls Dr
Ste 305
Yarmouth, ME 04096
Phone (207) 977-4700

Practitioners & affiliated clinicians

Practitioners 7

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": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1427728773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FOREST FALLS DR STE 305",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040967010",
            "telephone_number": "207-977-4700",
            "fax_number": "207-977-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FOREST FALLS DR STE 305",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040967010",
            "telephone_number": "207-977-4700",
            "fax_number": "207-977-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 S Freeport Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "ME",
            "postal_code": "040326145",
            "country_code": "US",
            "telephone_number": "207-977-4700",
            "fax_number": "207-977-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW ROOTS NUTRITION COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "WITHERS",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "DIETITIAN/OWNER",
        "authorized_official_telephone_number": "207-977-4700",
        "authorized_official_credential": "MED, RD, LD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Roots Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yarmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.