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

Active since August 23, 2022
118 PAUL BUNYAN DR S, BEMIDJI, MN 56601(218) 689-1907 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

About Headwaters Nutrition Counseling NPPES

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

HEADWATERS NUTRITION COUNSELING (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
Location Address118 PAUL BUNYAN DR SBemidji, MN 56601-3236
Mailing AddressPo Box 634Brandon, SD 57005-0634 · (218) 689-1907 · Fax (218) 229-6054
Organization SubpartNo
Authorized OfficialJami Sue RokalaRegistered Dietitian Nutritionist · (218) 689-1907
Enumeration DateAugust 23, 2022
Last NPPES UpdateMay 15, 20263 updates tracked since enumeration
NPPES CertifiedMay 15, 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.
118 PAUL BUNYAN DR S, Bemidji, MN 56601

Secondary Practice Locations 2

Location 143000 County 3LaPorte, MN 56461-4139 · Phone (218) 689-1907
Location 2110 Mag Seven Ct SWBemidji, MN 56601-4677 · Phone (218) 689-1907 · Fax (218) 214-6054

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
118 PAUL BUNYAN DR S
BEMIDJI, MN 56601
Orthopaedic Surgery
118 PAUL BUNYAN DR S
BEMIDJI, MN 56601
Dietitian, Registered
118 PAUL BUNYAN DR S
BEMIDJI, MN 56601
Chiropractor (Rehabilitation)
118 PAUL BUNYAN DR S
BEMIDJI, MN 56601

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's NPI number?

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

Where is Headwaters Nutrition Counseling located?

Headwaters Nutrition Counseling is located at 118 Paul Bunyan Dr S, Bemidji, MN 56601. The listed phone number is (218) 689-1907.

What is Headwaters Nutrition Counseling's specialty?

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

What insurance does Headwaters Nutrition Counseling accept?

Health plans from Sanford Health Plan list Headwaters Nutrition Counseling 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 was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.