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 | 103T00000X | Psychologist | | | | No |
| 2 | 1041C0700X | Social Worker | Clinical | | | No |
| 3 | 106H00000X | Marriage & Family Therapist | | | | No |
| 4 | 2084N0400X | Psychiatry & Neurology | Neurology | | | No |
| 5 | 251B00000X | Case Management | | 0015391-001 | KANSAS | No |
| 6 | 251B00000X | Case Management | | 0003255-002 | KANSAS | No |
| 7 | 251K00000X | Public Health or Welfare | | | KANSAS | No |
| 8 | 251S00000X | Community/Behavioral Health | | | KANSAS | No |
| 9 | 251V00000X | Voluntary or Charitable | | | KANSAS | No |
| 10 | 323P00000X | Psychiatric Residential Treatment Facility | | | | No |
| 11 | 320700000X | Residential Treatment Facility, Physical Disabilities | | | | Yes |