NPIMap

Organization Active NPI

Mentha Nutrition Counseling, LLC

  • Registered Dietitian
  • Hillsboro, OR
National Provider Identifier
1922601947
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MENTHA NUTRITION COUNSELING, LLC
Practice address
620 SE Oak St Ste E
Hillsboro, OR 97123-4160
Phone
(503) 747-3096
NPI assigned
Nov 20, 2020
Last updated
Nov 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Kaytlin Kimball, M.ED., RD, LDNNPI 1366098600
Title
Business Owner, Rd
Phone
(971) 404-4705

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 Dietitian 133V00000X NU Primary

Addresses

Primary practice location

620 SE Oak St Ste E
Hillsboro, OR 97123-4160

Mailing address

715 S 8TH Ave
Cornelius, OR 97113-6926
Phone (971) 404-4705

Other practice location 1

715 S 8th Ave
Cornelius, OR 97113-6926
Phone (971) 404-4705

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1922601947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S 8TH AVE",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "971136926",
            "telephone_number": "971-404-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SE OAK ST STE E",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234160",
            "telephone_number": "503-747-3096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 S 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Cornelius",
            "state": "OR",
            "postal_code": "971136926",
            "country_code": "US",
            "telephone_number": "971-404-4705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENTHA NUTRITION COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "KAYTLIN",
        "authorized_official_title_or_position": "BUSINESS OWNER, RD",
        "authorized_official_telephone_number": "971-404-4705",
        "authorized_official_credential": "M.ED., RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.