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 | 251B00000X | Case Management | | | | No |
| 2 | 251E00000X | Home Health | | | | No |
| 3 | 261QR0401X | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | | | No |
| 4 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 5 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 6 | 101YM0800X | Counselor | Mental Health | | | No |
| 7 | 251X00000X | Supports Brokerage | | | | No |
| 8 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | | No |
| 9 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 10 | 1041C0700X | Social Worker | Clinical | | | No |
| 11 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 12 | 251S00000X | Community/Behavioral Health | | | | Yes |