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 | 101Y00000X | Counselor | | | | No |
| 2 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 3 | 101YM0800X | Counselor | Mental Health | | | No |
| 4 | 104100000X | Social Worker | | | | No |
| 5 | 106S00000X | Behavior Technician | | | | No |
| 6 | 171000000X | Military Health Care Provider | | | | No |
| 7 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 8 | 174H00000X | Health Educator | | | | No |
| 9 | 177F00000X | Lodging | | | | No |
| 10 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 11 | 261QM1300X | Clinic/Center | Multi-Specialty | | | No |
| 12 | 305R00000X | Preferred Provider Organization | | | | No |
| 13 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 14 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | | Yes |
