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 | 101Y00000X | Counselor | | | | No |
| 2 | 163W00000X | Registered Nurse | | | | No |
| 3 | 251B00000X | Case Management | | | | No |
| 4 | 251K00000X | Public Health or Welfare | | | | No |
| 5 | 251S00000X | Community/Behavioral Health | | | | No |
| 6 | 261QH0100X | Clinic/Center | Health Service | | | No |
| 7 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 8 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 9 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 10 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | Yes |
| 11 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 12 | 323P00000X | Psychiatric Residential Treatment Facility | | | | No |
| 13 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 14 | 3245S0500X | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | | | No |
