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 | 101YM0800X | Counselor | Mental Health | | | No |
| 2 | 103T00000X | Psychologist | | | | No |
| 3 | 103TB0200X | Psychologist | Cognitive & Behavioral | | | No |
| 4 | 103TC0700X | Psychologist | Clinical | | | No |
| 5 | 103TC1900X | Psychologist | Counseling | | | No |
| 6 | 103TP2701X | Psychologist | Group Psychotherapy | | | No |
| 7 | 1041C0700X | Social Worker | Clinical | | | No |
| 8 | 106H00000X | Marriage & Family Therapist | | | | No |
| 9 | 163WC1500X | Registered Nurse | Community Health | | | No |
| 10 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 11 | 251S00000X | Community/Behavioral Health | | | | No |
| 12 | 253Z00000X | In Home Supportive Care | | | | No |
| 13 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 14 | 364SP0812X | Clinical Nurse Specialist | Psychiatric/Mental Health, Community | | | No |
| 15 | 251B00000X | Case Management | | | | Yes |