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 | 103T00000X | Psychologist | | | | No |
| 3 | 174N00000X | Lactation Consultant, Non-RN | | | | No |
| 4 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 5 | 251S00000X | Community/Behavioral Health | | | | No |
| 6 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 7 | 253Z00000X | In Home Supportive Care | | | | No |
| 8 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 9 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 10 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 11 | 261QM1300X | Clinic/Center | Multi-Specialty | | | No |
| 12 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 13 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | No |
| 14 | 251B00000X | Case Management | | | | Yes |