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 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 2 | 251B00000X | Case Management | | | | Yes |
| 3 | 251S00000X | Community/Behavioral Health | | | | No |
| 4 | 251V00000X | Voluntary or Charitable | | | | No |
| 5 | 251X00000X | Supports Brokerage | | | | No |
| 6 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 7 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 8 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 9 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | | No |