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NUTRITION BALANCE LLC
NPI 1275958118
Clinic/Center in Saint Clair Shores, MI

Active since March 01, 2014
22811 GREATER MACK AVE, SUITE 105, SAINT CLAIR SHORES, MI 48080(586) 778-4877(586) 778-3004 Get Directions Write a Review

NPPES record last updated: March 1, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nutrition Balance Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NUTRITION BALANCE LLC (NPI 1275958118) is a healthcare organization registered as a clinic/center in Saint Clair Shores, Michigan and active in the NPI registry since March 2014. The organization lists Susanne E Consiglio, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1275958118
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNUTRITION BALANCE LLC
Location Address22811 GREATER MACK AVE, SUITE 105Saint Clair Shores, MI 48080-2021
Mailing Address22811 Greater Mack Ave, Suite 105Saint Clair Shores, MI 48080-2021 · (586) 778-4877 · Fax (586) 778-3004
Phone(586) 778-4877
Fax(586) 778-3004
Organization SubpartNo
Authorized OfficialSusanne E ConsiglioRegistered Dietitian · (586) 778-4877
Enumeration DateMarch 1, 2014
✔ NPI 1275958118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MI · 00595403
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
22811 GREATER MACK AVE, Saint Clair Shores, MI 48080
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nutrition Balance Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nutrition Balance LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Susanne Consiglio, RD
Registered Dietitian or Nutrition Professional
NPI 1164453114
22811 GREATER MACK AVE SUITE 105
Saint Clair Shores, MI 48080
(586) 778-4877
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nutrition Balance LLC's NPI number?

The NPI number for Nutrition Balance LLC is 1275958118. It was assigned to this organization in the NPPES registry on March 1, 2014.

Where is Nutrition Balance LLC located?

Nutrition Balance LLC is located at 22811 Greater Mack Ave Suite 105, Saint Clair Shores, MI 48080. The listed phone number is (586) 778-4877.

What is Nutrition Balance LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Nutrition Balance LLC enrolled in Medicare?

Yes. Nutrition Balance LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nutrition Balance LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Nutrition Balance LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nutrition Balance LLC was last updated on March 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.