Organization Active NPI

Nutrition Counseling Services LLC

  • Registered Dietitian
  • Kings Mountain, NC
National Provider Identifier
1962706580
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITION COUNSELING SERVICES LLC
Practice address
103 Spurgen Dr
Kings Mountain, NC 28086-7808
Phone
(704) 692-7727
NPI assigned
Dec 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
Mrs. Carol Weaver Johnson, MS, RD, LDN
Title
Owner/Registered Dietitian
Phone
(704) 692-7727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

103 Spurgen Dr
Kings Mountain, NC 28086-7808

Mailing address

103 Spurgen Dr
Kings Mountain, NC 28086-7808
Phone (704) 692-7727

Other identifiers 1

IdentifierTypeStateIssuer
1434POtherNCBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

307 E King St
Ste A
Kings Mountain, NC 28086
Phone (704) 214-7237

NPI Registry JSON

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1962706580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SPURGEN DR",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280867808",
            "telephone_number": "704-692-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SPURGEN DR",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280867808",
            "telephone_number": "704-692-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-23",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "WEAVER",
        "authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "704-692-7727",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "1434P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.