Taproot Mental Health Services LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

TAPROOT MENTAL HEALTH SERVICES LLC

Practice address

1100 Hatch Rd
Jackson, MI 49201-9712

Phone

(517) 914-8619

NPI assigned

Mar 7, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Amy Zicafoose, LMSWNPI 1114521853

Title

Licensed Clinical Social Worker

Phone

(517) 914-8619

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Jane Matteson Zicafoose, LMSW

  • Clinical Social Worker
  • Jackson, MI
  • NPI 1114521853
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1073312666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HATCH RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HATCH RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019712",
            "telephone_number": "517-914-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAPROOT MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "ZICAFOOSE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "517-914-8619",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Choki Tam-Ferguson, DO
• Tammy Edinger LLC
• Howard Franklin Tanner II, MPA, MA, CCC-SLP
• Lynnelle Ann Tans, MA, CCC-SLP
• Amilyn Mee Young Han Taplin, M.D.
• Taproots LLC
• Taproots, LLC
• Nawar Taqi
• Haseeb Khan Tareen, MD
• Targeted Neurofeedback and Psychotherapy Services, PLLC

• Adult Mental Health Clinic/Center in Jackson, MI
• Providers in Jackson, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.