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 | 101YM0800X | Counselor | Mental Health | | | No |
| 3 | 106S00000X | Behavior Technician | | | | No |
| 4 | 172V00000X | Community Health Worker | | | | Yes |
| 5 | 175T00000X | Peer Specialist | | | | No |
| 6 | 251B00000X | Case Management | | | | No |
| 7 | 251K00000X | Public Health or Welfare | | | | No |
| 8 | 251S00000X | Community/Behavioral Health | | | | No |
| 9 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 10 | 253Z00000X | In Home Supportive Care | | | | No |
| 11 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 12 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 13 | 3245S0500X | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | | | No |