Nutrition Counseling Services Inc

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN000291 Issued in PA

Legal business name

NUTRITION COUNSELING SERVICES INC

Practice address

313 E Drinker St
Dunmore, PA 18512-2408

Phone

(570) 347-7127

Fax

(570) 347-1831

NPI assigned

Dec 10, 2010

Organization subpart

No

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

Authorized official

Name

Marilynn C Ksiazek, MS, RD, CDE, LDNNPI 1689766156

Title

Owner

Phone

(570) 347-7127

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

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

• Marilynn C Ksiazek, MS RD CDE LDN

  • Registered Dietitian
  • Olyphant, PA
  • NPI 1689766156

  Dietitian, Registered, PA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1720381908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E DRINKER ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122408",
            "telephone_number": "570-347-7127",
            "fax_number": "570-347-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E DRINKER ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122408",
            "telephone_number": "570-347-7127",
            "fax_number": "570-347-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION COUNSELING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "KSIAZEK",
        "authorized_official_first_name": "MARILYNN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-347-7127",
        "authorized_official_credential": "MS, RD, CDE, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN000291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077712630002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Dunmore, PA
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.

Verify at the official NPI Registry.