Individual provider Active NPI

Kelsea Elizabeth Royer, SUDA

  • Addiction (Substance Use Disorder) Counselor
  • Twin Falls, ID
National Provider Identifier
1639099690
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
13063 Issued in ID
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

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.