Nutrition Therapy and Coaching Services

Services Page Image with a bowl of colorful food

I provide virtual medical nutrition therapy and nutrition coaching services to anyone wanting to make peace with food and/or improve their health using an non-diet approach. 

Medical Nutrition Therapy

Medical Nutrition Therapy (MNT) is an evidence-based treatment, provided by a registered dietitian, using food and nutrition to treat a diagnosed medical condition. It often involves individualized nutrition education, meal planning, and/or supplement recommendation and ongoing monitoring and evaluation. I can provide virtual MNT to individuals residing in North Carolina.

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!


I have a wide range of clinical experience, and am confident in many types of nutrition therapy. My personal interests lie in helping those who have struggled with an eating disorder or disordered eating.


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

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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 Assessment

When we meet for the first time, I will take some time getting to know “you”: what is important to you, your health goals, and your experience so far with food, dieting, movement, and your body. We will identify your long-term  goals and then establish short-term stepping stones to get you there.


Follow-up visits are recommended weekly, at least in the beginning. During these sessions, we will review your progress on your goals, and explore additional barriers and motivators. This might include education, resources, and/or referrals to other providers. 

Ongoing Support

Many of my clients benefit from ongoing support. This might look like ongoing weekly sessions, or shorter 20-30 minute check-ins as needed. We will come up with a plan together. We can always modify as we go! I also offer a free newsletter to all current, past, future, or potential clients. Sign up here!

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 and Blue Value)
  • United Healthcare
  • Cigna
  • Aetna

If your insurance is not listed, she can file as an out-of-network provider or provider a superbill.

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.

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