Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 175T00000X | Peer Specialist | | | | No |
| 2 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | No |
| 3 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 4 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 5 | 104100000X | Social Worker | | | | No |
| 6 | 101YM0800X | Counselor | Mental Health | | | No |
| 7 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 8 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 9 | 251S00000X | Community/Behavioral Health | | | | Yes |