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 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 2 | 101YM0800X | Counselor | Mental Health | | | No |
| 3 | 101YP2500X | Counselor | Professional | | | No |
| 4 | 1041C0700X | Social Worker | Clinical | | | No |
| 5 | 164W00000X | Licensed Practical Nurse | | | | No |
| 6 | 2279G1100X | Respiratory Therapist, Registered | General Care | | | No |
| 7 | 251B00000X | Case Management | | | | No |
| 8 | 251G00000X | Hospice Care, Community Based | | | | No |
| 9 | 251K00000X | Public Health or Welfare | | | | No |
| 10 | 251S00000X | Community/Behavioral Health | | | | No |
| 11 | 253Z00000X | In Home Supportive Care | | | | No |
| 12 | 364SC1501X | Clinical Nurse Specialist | Community Health/Public Health | | | No |
| 13 | 390200000X | Student in an Organized Health Care Education/Training Program | | | | No |
| 14 | 261Q00000X | Clinic/Center | | | | Yes |
