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 | 324500000X | Substance Abuse Rehabilitation Facility | | | | No |
| 2 | 3245S0500X | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | | | No |
| 3 | 101YM0800X | Counselor | Mental Health | | | Yes |
| 4 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 5 | 101Y00000X | Counselor | | | | No |
| 6 | 101YP2500X | Counselor | Professional | | | No |
| 7 | 251S00000X | Community/Behavioral Health | | | | 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 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | | No |
| 12 | 276400000X | Rehabilitation, Substance Use Disorder Unit | | | | No |
| 13 | 310500000X | Intermediate Care Facility, Mental Illness | | | | No |
| 14 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
