Individual provider Active NPI

Taylor Elizabeth Rooyakkers

  • Addiction (Substance Use Disorder) Counselor
  • Sault Sainte Marie, MI
National Provider Identifier
1700429842
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
2655 Ashmun St
Sault Sainte Marie, MI 49783-3711
Phone
(906) 632-2522
NPI assigned
Oct 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 815 TN
Assistant Behavior Analyst 106E00000X
Behavior Technician 106S00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

2655 Ashmun St
Sault Sainte Marie, MI 49783-3711

Mailing address

200 Prosperity Dr
Knoxville, TN 37923-4718
Phone (855) 832-6727

Other practice location 1

200 Prosperity Dr
Knoxville, TN 37923-4718
Phone (855) 832-6727 ext. 1646

Other practice location 2

2655 Ashmun St
Sault Sainte Marie, MI 49783-3711
Phone (906) 632-9809

Other practice location 3

1416 W Easterday Ave
Sault Sainte Marie, MI 49783-1415
Phone (906) 748-9010

Other practice location 4

301 E Spruce St
Sault Sainte Marie, MI 49783-2134
Phone (906) 259-9511

Other practice location 5

1416 W Easterday Ave
Sault Sainte Marie, MI 49783-1415
Phone (906) 635-5542

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
815TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Recovery Centers Past Accepting new patients
Great Lakes Recovery Centers PastSince Dec 22, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1700429842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PROSPERITY DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234718",
            "telephone_number": "855-832-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 ASHMUN ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497833711",
            "telephone_number": "906-632-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Prosperity Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234718",
            "country_code": "US",
            "telephone_number": "855-832-6727 x1646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2655 Ashmun St",
            "address_purpose": "LOCATION",
            "city": "Sault Sainte Marie",
            "state": "MI",
            "postal_code": "497833711",
            "country_code": "US",
            "telephone_number": "906-632-9809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1416 W Easterday Ave",
            "address_purpose": "LOCATION",
            "city": "Sault Sainte Marie",
            "state": "MI",
            "postal_code": "497831415",
            "country_code": "US",
            "telephone_number": "906-748-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E Spruce St",
            "address_purpose": "LOCATION",
            "city": "Sault Sainte Marie",
            "state": "MI",
            "postal_code": "497832134",
            "country_code": "US",
            "telephone_number": "906-259-9511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1416 W Easterday Ave",
            "address_purpose": "LOCATION",
            "city": "Sault Sainte Marie",
            "state": "MI",
            "postal_code": "497831415",
            "country_code": "US",
            "telephone_number": "906-635-5542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROOYAKKERS",
        "first_name": "TAYLOR",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "815",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sault Sainte Marie, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.