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 | 106H00000X | Marriage & Family Therapist | | | | No |
| 6 | 106S00000X | Behavior Technician | | | | No |
| 7 | 171400000X | Health and Wellness Coach | | | | No |
| 8 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 9 | 172V00000X | Community Health Worker | | | | No |
| 10 | 175T00000X | Peer Specialist | | | | No |
| 11 | 221700000X | Art Therapist | | | | No |
| 12 | 225800000X | Recreation Therapist | | | | No |
| 13 | 225A00000X | Music Therapist | | | | No |
| 14 | 251B00000X | Case Management | | | | No |
| 15 | 251S00000X | Community/Behavioral Health | | | | Yes |