Active NPI
Kelsea Elizabeth Royer, SUDA
- Addiction (Substance Use Disorder) Counselor
- Twin Falls, ID
National Provider Identifier
1639099690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 13063
- Practice address
- 1102 Eastland Dr N
Twin Falls, ID 83301-8941 - Phone
- (208) 734-4200
- Fax
- (208) 734-1404
- NPI assigned
- Jul 20, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13063 | ID | Primary |
Addresses
Primary practice location
1102 Eastland Dr N
Twin Falls, ID 83301-8941
Mailing address
1102 Eastland Dr N
Twin Falls, ID 83301-8941
Phone (208) 734-4200
Other practice location 1
605 11th Ave E
Gooding, ID 83330-5368
Phone (208) 934-8461
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": "1784505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1639099690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 EASTLAND DR N",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833018941",
"telephone_number": "208-734-4200",
"fax_number": "208-734-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 EASTLAND DR N",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833018941",
"telephone_number": "208-734-4200",
"fax_number": "208-734-1404"
}
],
"practiceLocations": [
{
"address_1": "605 11th Ave E",
"address_purpose": "LOCATION",
"city": "Gooding",
"state": "ID",
"postal_code": "833305368",
"country_code": "US",
"telephone_number": "208-934-8461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROYER",
"first_name": "KELSEA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "SUDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-20",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ID",
"license": "13063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.