Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Stacey Koekkoek, MSRD, LDN, LMHC

Individual provider Registered Dietitian · NPI 1982898177

Mrs. Stacey Koekkoek, MSRD, LDN, LMHC is a Registered Dietitian in Wayland, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2007
What do these letters mean?
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

260 Boston Post Rd
Wayland, MA 01778-1889
Phone: (508) 276-1743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2606 (MA)

Record details

NPI number1982898177
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSRD , LDN , LMHC
Sole proprietorYes
NPI enumeratedAugust 30, 2007
Last updated in NPPESApril 4, 2017

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