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MR. KOURTNEY JEVON ROYSTER
NPI 1093563108
Counselor - Mental Health in Burlington, NC

Active since May 13, 2024
610 DURHAM ST, BURLINGTON, NC 27217(336) 501-6067 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kourtney Jevon Royster NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KOURTNEY JEVON ROYSTER (NPI 1093563108) is an individual mental health provider in Burlington, North Carolina, licensed in North Carolina (A19887) and active in the NPI registry since May 2024. He maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1093563108
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KOURTNEY JEVON ROYSTER
Location Address610 DURHAM STBurlington, NC 27217-2306
Mailing Address610 Durham StBurlington, NC 27217-2306 · (336) 265-6108
Phone(336) 501-6067
Sole ProprietorYes
Enumeration DateMay 13, 2024
NPPES CertifiedMay 13, 2024
✔ NPI 1093563108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · A19887
610 DURHAM ST, Burlington, NC 27217
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Secondary Practice Location 1

Location 12929 Crouse Ln Ste EBurlington, NC 27215-8317 · Phone (336) 567-4033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kourtney Royster's NPI number?

The NPI number for Kourtney Royster is 1093563108. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Kourtney Royster located?

Kourtney Royster practices at 610 Durham St, Burlington, NC 27217. The listed phone number is (336) 501-6067.

What is Kourtney Royster's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kourtney Royster was last updated on May 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.