Nutrition Therapy Services

Services Page Image with a bowl of colorful food

I provide virtual medical nutrition therapy and nutrition coaching services to adults and teens (generally 15+) wanting to make peace with food and/or improve their health using an non-diet approach. I can help you navigate:

  • An eating disorder/disordered eating
  • Chronic dieting
  • Body image concerns
  • Chronic diseases management, e.g. diabetes, heart disease, high blood pressure, high cholesterol
  • Irritable bowel syndrome (IBS)
  • Sports performance

Currently, I am only licensed in North Carolina and am only able to work with those residing in the state of NC, or select other states that don’t require a license to practice. If you don’t live in NC, I may be able to work with you on special case-by-case basis.

Nutrition Coaching

Nutrition coaching provides ongoing support and accountability to those looking to make lifestyle changes without the goal of treating a diagnosed medical condition. It may involve general nutrition and health education. Nutrition coaching is not covered by insurance. If you live in a state that I am not licensed in, we may be able to work together on a coaching basis, depending on your needs. Schedule a consultation to learn more!


image of glucometer and fingerstick

Erin has been around diabetes for most of her life. She watched her grandmother struggle with “brittle” type 1 diabetes and saw how that impacted her food choices on a daily basis. Along with this, she is aware of how challenging this disease is for not only those with the condition, but also for those involved in the care of the person with diabetes. Erin is passionate about dispelling myths about diabetes, and educating on the numerous factors that influence risk beyond weight, diet, and exercise.

Sports Nutrition

girl running in pink tank top

Erin has been a runner for over 10 years. She has completed several half marathons, a full marathon, and a handful of 5, 8, and 10ks. Because of this, she understands the common challenges that come up for runners and endurance athletes. Erin loves blending intuitive eating with sports nutrition because it provides the perfect opportunity to really tune-in and see what it is your body needs for optimal performance and recovery.

Disordered Eating

woman standing on top of a mounain

Our culture supports the thin ideal, and diet culture encourages disordered eating behaviors. Erin recognizes that weight and nutrition are just one piece of the puzzle that contributes to our health. She will support you along your path to reduce anxiety and build confidence in food choices. For those who require more specialized or a higher level of care, Erin can help you connect with and build your support team.

General Nutrition

colorful salad on a table

Erin has a strong clinical background and is confident counseling on a variety of medical conditions as well as general preventive nutrition. 

What to Expect

Nutrition therapy addresses what you eat as well as how you think and feel about food and your body. This is not a one size fits all approach. In the first appointment, I want to understand your goals, values, and lifestyle in order to offer support for your food and body concerns. There is a lot I want to learn, but there is no rush; it may take me a few sessions to really get to know someone. 

Most appointments are 55 minutes and are recommended weekly. Some people can get what they need out of a few educational sessions; others may find ongoing support is ideal. 

Insurance and Payment

I am currently in network with the following insurance companies: 

  • Blue Cross Blue Shield (including the NC State Health Plan, excluding Blue Home, Blue Value, and the UNC Health Exchange)
  • United Healthcare
  • Aetna

If your insurance is not listed, I can file a courtesy claim to your insurance as an out-of-network provider. Payment is expected up front but you insurance may reimburse you if you have out of network benefits. 

I also offer a “prompt pay” discount to those choosing to self-pay. These rates are as follows:
Initial Assessment: $150
Follow-up session (1 hour): $125

Credit card, HSA and FSA cards are accepted.

Good Faith Estimate

As of January 1, 2022, all healthcare providers are required to provide estimates for the costs of your care if we are not filing directly with your insurance company. A Good Faith Estimate will be provided upon scheduling and/or as requested. 

Questions to Ask Your Insurance

Not all plans cover medical nutrition therapy, even if the provider is considered “in network”. Call your insurance company to make sure MNT is covered. This number can be found on your insurance card. Download this worksheet to help guide you. 

Questions to ask:

  • Is medical nutrition therapy a covered benefit (procedure code 97802 and 97803?)
  • Do I have nutrition counseling covered under my preventative benefits (ICD code Z71.3?)
  • Does it require a doctor’s order or referral?*
  • How many visits are covered per year? Is this calendar year or term year?
  • Is telehealth currently covered for ANY in-network provider?
  • Is there a copay?
  • Is this subject to the deductible?
  • What diagnosis codes or conditions are required (e.g. diabetes, hypertension, eating disorder?)
  • If Erin Decker Nutrition is not in network, what are my out of network benefits?

*Many times, a referral is not necessary for payment. However, there are times I need documentation for a doctor in order to bill certain diagnoses codes. In these cases, I may ask that you obtain a referral. 

I can help you with this process if you are not sure how to proceed. Contact her for help.