Individual provider Active NPI

Matthew Stephen Royster, COUNSELOR

  • Mental Health Counselor
  • Cherokee, IA
National Provider Identifier
1114227675
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00958 Issued in IA
Practice address
545 Park Ave
Cherokee, IA 51012-1922
Phone
(319) 329-2218
NPI assigned
Oct 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00958 IA Primary

Addresses

Primary practice location

545 Park Ave
Cherokee, IA 51012-1922

Mailing address

545 Park Ave
Cherokee, IA 51012-1922
Phone (319) 329-2218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1114227675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 PARK AVE",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510121922",
            "telephone_number": "319-329-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 PARK AVE",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510121922",
            "telephone_number": "319-329-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYSTER",
        "first_name": "MATTHEW",
        "middle_name": "STEPHEN",
        "credential": "COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherokee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.