Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEADWATERS NUTRITION COUNSELING, LLC
NPI 1578282646
Dietitian, Registered in Bemidji, MN

Q: What is Headwaters Nutrition Counseling, LLC's NPI number?

The NPI number for Headwaters Nutrition Counseling, LLC is 1578282646. It was assigned to this organization in the NPPES registry on August 23, 2022.

Q: What is Headwaters Nutrition Counseling, LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since August 23, 2022

110 MAG SEVEN CT SW, BEMIDJI, MN 56601(218) 689-1907(218) 214-6054 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 15, 2026, Sep 28, 2022, Aug 23, 2022 (3 updates tracked since 2022).

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About Headwaters Nutrition Counseling, Llc NPPES

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

HEADWATERS NUTRITION COUNSELING, LLC (NPI 1578282646) is a healthcare organization registered as a dietitian, registered in Bemidji, Minnesota and active in the NPI registry since August 2022. The organization maintains 2 additional practice locations and lists Jami Sue Rokala, Registered Dietitian Nutritionist, as its authorized official.

NPPES Registry Identity

NPI1578282646

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameHEADWATERS NUTRITION COUNSELING, LLC

Location Address110 MAG SEVEN CT SWBemidji, MN 56601-4677

Mailing AddressPo Box 634Brandon, SD 57005-0634 · (218) 689-1907 · Fax (218) 229-6054

Phone(218) 689-1907

Fax(218) 214-6054

Organization SubpartNo

Authorized OfficialJami Sue RokalaRegistered Dietitian Nutritionist · (218) 689-1907

Enumeration DateAugust 23, 2022

Last NPPES UpdateOctober 23, 20263 updates tracked since enumeration

NPPES CertifiedOctober 23, 2026

✔ NPI 1578282646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

110 MAG SEVEN CT SW, Bemidji, MN 56601

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Secondary Practice Locations 2

Location 143000 County 3LaPorte, MN 56461-4139 · Phone (218) 689-1907

Location 2118 Paul Bunyan Dr SBemidji, MN 56601-3236 · Phone (218) 689-1907

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

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 Headwaters Nutrition Counseling, LLC's NPI number?

The NPI number for Headwaters Nutrition Counseling, LLC is 1578282646. It was assigned to this organization in the NPPES registry on August 23, 2022.

Where is Headwaters Nutrition Counseling, LLC located?

Headwaters Nutrition Counseling, LLC is located at 110 Mag Seven Ct SW, Bemidji, MN 56601. The listed phone number is (218) 689-1907.

What is Headwaters Nutrition Counseling, LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

What insurance does Headwaters Nutrition Counseling, LLC accept?

Health plans from Sanford Health Plan list Headwaters Nutrition Counseling, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Headwaters Nutrition Counseling, LLC was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.