Mindful Nutrition Counseling LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MINDFUL NUTRITION COUNSELING LLC

Practice address

2400 N Stallings Dr
Nacogdoches, TX 75964-1222

Phone

(936) 205-1721

Fax

(866) 259-8676

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Shelbie Greenville, MS, RDN, LD

Title

Owner

Phone

(936) 205-1721

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Mindful Nutrition Counseling2 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.

• Mindful Nutrition Counseling LLC

  • Registered Dietitian
  • Nacogdoches, TX
  • NPI 1639889777
  NPD tax ID

Practitioners 1

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.

• Shelbie C Calk Greenville, MS, RDN, LD

  • Registered Dietitian
  • Nacogdoches, TX
  • NPI 1174097000

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1932821279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 EDGEWOOD CIR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759047518",
            "telephone_number": "936-465-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759641222",
            "telephone_number": "936-205-1721",
            "fax_number": "866-259-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL NUTRITION COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "GREENVILLE",
        "authorized_official_first_name": "SHELBIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-205-1721",
        "authorized_official_credential": "MS, RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Lance Miller, LVN
• Linda Ruth Millican
• Milstead & Associates Counseling Group
• Brittany Brown Milstead, LPC
• Mindful Nutrition Counseling LLC
• Max Hamilton Mitchell, PT
• Jerry L Mixon, CRNA
• Michelle Mixon
• Mobility Scooters
• Binusha Moitheennazima, MD

• Registered Dietitian in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.