Individual provider Active NPI

Elizabeth Ann Royster, LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1205130697
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2282 Issued in MN
Practice address
5939 Portland Ave
Minneapolis, MN 55417-3127
Phone
(612) 866-6100
Fax
(612) 866-9379
NPI assigned
Dec 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2282 MN Primary

Addresses

Primary practice location

5939 Portland Ave
Minneapolis, MN 55417-3127

Mailing address

5939 Portland Ave
Minneapolis, MN 55417-3127
Phone (612) 866-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251017001724 MN Practitioner - Marriage and Family Therapist 2466949805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Stone Arch Psychology and Health ServicesGroup PAC ID 6709045784, 8 clinicians

Practice addresses (Care Compare)

219 SE Main St
Suite 400
Minneapolis, MN 55414-2151
Phone (612) 886-2524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Arch Psychology and Health Services CurrentSince Aug 8, 2025 Accepting new patients
Diamond Lake Clinic, P.C. PastSince Aug 1, 2015 Accepting new patients
Crosstown Counseling, PLC PastSince Nov 16, 2004 Accepting new patients

Locations

219 SE Main St
Ste 400
Minneapolis, MN 55414
Phone (612) 379-2640

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1205130697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5939 PORTLAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554173127",
            "telephone_number": "612-866-6100",
            "fax_number": "612-866-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5939 PORTLAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554173127",
            "telephone_number": "612-866-6100",
            "fax_number": "612-866-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYSTER",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.