MINDFUL NUTRITION COUNSELING LLC
NPI 1932821279
Dietitian, Registered in Nacogdoches, TX

Active since September 14, 2022
2400 N STALLINGS DR, NACOGDOCHES, TX 75964(936) 205-1721(866) 259-8676 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 20, 2023, Nov 22, 2022, Sep 14, 2022 (3 updates tracked since 2022).

About Mindful Nutrition Counseling Llc NPPES

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

MINDFUL NUTRITION COUNSELING LLC (NPI 1932821279) is a healthcare organization registered as a dietitian, registered in Nacogdoches, Texas and active in the NPI registry since September 2022. The organization lists Shelbie Greenville, Owner, as its authorized official.

NPPES Registry Identity

NPI1932821279
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameMINDFUL NUTRITION COUNSELING LLC
Location Address2400 N STALLINGS DRNacogdoches, TX 75964-1222
Mailing Address316 Edgewood CirLufkin, TX 75904-7518 · (936) 465-6997
Fax(866) 259-8676
Organization SubpartNo
Authorized OfficialShelbie GreenvilleOwner · (936) 205-1721
Enumeration DateSeptember 14, 2022
Last NPPES UpdateFebruary 20, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2023
✔ NPI 1932821279 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.
2400 N STALLINGS DR, Nacogdoches, TX 75964

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindful Nutrition Counseling 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 Mindful Nutrition Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Registered Dietitian or Nutrition Professional
NPI 1174097000
2400 N STALLINGS DR
Nacogdoches, TX 75964
(936) 205-1721
✔ 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 Mindful Nutrition Counseling LLC's NPI number?

The NPI number for Mindful Nutrition Counseling LLC is 1932821279. It was assigned to this organization in the NPPES registry on September 14, 2022.

Where is Mindful Nutrition Counseling LLC located?

Mindful Nutrition Counseling LLC is located at 2400 N Stallings Dr, Nacogdoches, TX 75964. The listed phone number is (936) 205-1721.

What is Mindful Nutrition Counseling LLC's specialty?

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

Is Mindful Nutrition Counseling LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Mindful Nutrition Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Mindful Nutrition Counseling 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 Mindful Nutrition Counseling LLC was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.