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 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | | No |
| 3 | 101Y00000X | Counselor | | | | No |
| 4 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 5 | 261QM1300X | Clinic/Center | Multi-Specialty | | | No |
| 6 | 103K00000X | Behavior Analyst | | | | No |
| 7 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 8 | 251S00000X | Community/Behavioral Health | | | | No |
| 9 | 276400000X | Rehabilitation, Substance Use Disorder Unit | | | | No |
| 10 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 11 | 101YP2500X | Counselor | Professional | | | No |
| 12 | 251B00000X | Case Management | | | | Yes |