Active NPI
Reba Royster, MS, MBA, MA
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1184021784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A10891
- Practice address
- 8312 La Matisse Rd
Raleigh, NC 27615-3358 - Phone
- (919) 880-5451
- NPI assigned
- Nov 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A10891 | NC | Primary |
Addresses
Primary practice location
8312 La Matisse Rd
Raleigh, NC 27615-3358
Mailing address
8312 La Matisse Rd
Raleigh, NC 27615-3358
Phone (919) 880-5451
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20472 | Other | NC | NCSAPPB |
| A10891 | Other | NC | NC BLPC |
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
- Credentials
- Master of Arts, Master of Business Administration, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A10891 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1184021784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8312 LA MATISSE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153358",
"telephone_number": "919-880-5451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8312 LA MATISSE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153358",
"telephone_number": "919-880-5451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYSTER",
"first_name": "REBA",
"credential": "MS, MBA, MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-25",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A10891",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCSAPPB",
"identifier": "20472",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC BLPC",
"identifier": "A10891",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.