Taylor Roustio, LCDCII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCDCII.161800 Issued in OH

Practice address

3430 S Dixie Dr Ste 308
Moraine, OH 45439-2316

Phone

(937) 388-3009

NPI assigned

Jan 25, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Recovery Services of Greater Dayton LLP

  • Addiction (Substance Use Disorder) Counselor
  • Moraine, OH
  • NPI 1316643604
  NPD Authorized official
• Recovery Services of Greater Dayton LLP

  • Community/Behavioral Health Agency
  • Moraine, OH
  • NPI 1750141545
  NPD Authorized official

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1336855154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 S DIXIE DR STE 308",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454392316",
            "telephone_number": "937-388-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 S DIXIE DR STE 308",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454392316",
            "telephone_number": "937-388-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSTIO",
        "first_name": "TAYLOR",
        "credential": "LCDCII",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCII.161800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Rose
• Ladonna J Ross, C.N.S.
• Rachel R Rossi, HS, QMHS
• Kristina A Rost-Mangan, MS, RN, CNP
• Sarah Mae Rotsinger-Stemen
• Sophie M Roytman
• Molly Marie Ruble
• Gina Maria Ruby
• Colleen Rudy, BSW, LSW
• Brianne Rumore, QMHS

• Addiction (Substance Use Disorder) Counselor in Moraine, OH
• Providers in Moraine, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.