Active NPI
Denise S Royster
- Professional Counselor
- Cartersville, GA
National Provider Identifier
1700060779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC005099
- Practice address
- 650 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-3962 - Phone
- (770) 387-3538
- NPI assigned
- Dec 26, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC005099 | GA | Primary |
Addresses
Primary practice location
650 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-3962
Mailing address
1620 Hickory St
Ste 404
Dalton, GA 30720-2312
Phone (706) 270-5033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC005099 | Other | GA | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC005099 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1700060779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 HICKORY ST",
"address_2": "STE 404",
"city": "DALTON",
"state": "GA",
"postal_code": "307202312",
"telephone_number": "706-270-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 JOE FRANK HARRIS PKWY SE",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301203962",
"telephone_number": "770-387-3538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYSTER",
"first_name": "DENISE",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-26",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "LPC005099",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.