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 | 106H00000X | Marriage & Family Therapist | | | | No |
| 2 | 251B00000X | Case Management | | | | No |
| 3 | 251E00000X | Home Health | | | | No |
| 4 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 5 | 253J00000X | Foster Care Agency | | | | No |
| 6 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 7 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 8 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 9 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 10 | 261QR0400X | Clinic/Center | Rehabilitation | | | No |
| 11 | 310400000X | Assisted Living Facility | | | | No |
| 12 | 3104A0625X | Assisted Living Facility | Assisted Living, Mental Illness | | | No |
| 13 | 310500000X | Intermediate Care Facility, Mental Illness | | | | No |
| 14 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 15 | 251S00000X | Community/Behavioral Health | | | | Yes |