Headwaters Nutrition Counseling

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

HEADWATERS NUTRITION COUNSELING

Practice address

118 Paul Bunyan Dr S
Bemidji, MN 56601-3236

Phone

(218) 689-1907

NPI assigned

Aug 23, 2022

Organization subpart

No

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

Authorized official

Name

Jami Sue Rokala, RDN, CLCNPI 1720707888

Title

Registered Dietitian Nutritionist

Phone

(218) 689-1907

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jami Sue Rokala, RDN, CLC

  • Registered Dietitian
  • Bemidji, MN
  • NPI 1720707888

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1578282646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570050634",
            "telephone_number": "218-689-1907",
            "fax_number": "218-229-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PAUL BUNYAN DR S",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013236",
            "telephone_number": "218-689-1907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43000 County 3",
            "address_purpose": "LOCATION",
            "city": "LaPorte",
            "state": "MN",
            "postal_code": "564614139",
            "country_code": "US",
            "telephone_number": "218-689-1907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Mag Seven Ct SW",
            "address_purpose": "LOCATION",
            "city": "Bemidji",
            "state": "MN",
            "postal_code": "566014677",
            "country_code": "US",
            "telephone_number": "218-689-1907",
            "fax_number": "218-214-6054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEADWATERS NUTRITION COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "ROKALA",
        "authorized_official_first_name": "JAMI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "218-689-1907",
        "authorized_official_credential": "RDN, CLC"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Michelle Dobson Hazelton, OD
• Zachary David Hazelton, D.D.S.
• Michael Wayne Headlee, D.C.
• Headwaters Chiropractic Center LLC
• Headwaters Dental
• Headwaters Professionals' Billing Service
• Health Med Services
• Donna K Heck
• Bailee Jo Hedberg, MDT, RDH
• Colin Michael Heglund, M.A., LP

• Registered Dietitian in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.