Individual provider Active NPI

Ronald Charles Royer

  • Addiction (Substance Use Disorder) Counselor
  • Detroit Lakes, MN
National Provider Identifier
1699203232
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
303423 Issued in MN
Practice address
811 8TH St SE
Detroit Lakes, MN 56501-2842
Phone
(218) 844-5782
Fax
(218) 844-5799
NPI assigned
May 26, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1086 MN
Addiction (Substance Use Disorder) Counselor 101YA0400X 303423 MN Primary

Addresses

Primary practice location

811 8TH St SE
Detroit Lakes, MN 56501-2842

Mailing address

811 8TH St SE
Detroit Lakes, MN 56501-2842
Phone (218) 844-5782

Other identifiers 1

IdentifierTypeStateIssuer
1992179356MedicaidMN

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

State licenses

LicenseStateTypeSpecialty
303423MNMDAddiction (Substance Use Disorder) Counselor
1086MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion House PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699203232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 8TH ST SE",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565012842",
            "telephone_number": "218-844-5782",
            "fax_number": "218-844-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 8TH ST SE",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565012842",
            "telephone_number": "218-844-5782",
            "fax_number": "218-844-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYER",
        "first_name": "RONALD",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1086",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992179356",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit Lakes, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.