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 | 101YM0800X | Counselor | Mental Health | | | No |
2 | 1041C0700X | Social Worker | Clinical | | | No |
3 | 163WP0807X | Registered Nurse | Psychiatric/Mental Health, Child & Adolescent | | | No |
4 | 171400000X | Health and Wellness Coach | | | | No |
5 | 171M00000X | Case Manager/Care Coordinator | | | | No |
6 | 251B00000X | Case Management | | | | No |
7 | 251E00000X | Home Health | | | | No |
8 | 253Z00000X | In Home Supportive Care | | | | No |
9 | 261QC1500X | Clinic/Center | Community Health | | | No |
10 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
11 | 363L00000X | Nurse Practitioner | | | | No |
12 | 363LA2200X | Nurse Practitioner | Adult Health | | | No |
13 | 363LC0200X | Nurse Practitioner | Critical Care Medicine | | | No |
14 | 363LC1500X | Nurse Practitioner | Community Health | | | No |
15 | 251S00000X | Community/Behavioral Health | | | | Yes |