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 | 172A00000X | Driver | | | INDIANA | No |
| 2 | 251S00000X | Community/Behavioral Health | | | INDIANA | No |
| 3 | 1041C0700X | Social Worker | Clinical | | INDIANA | No |
| 4 | 175T00000X | Peer Specialist | | 4996 | INDIANA | Yes |
| 5 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | INDIANA | No |
| 6 | 171M00000X | Case Manager/Care Coordinator | | | INDIANA | No |
| 7 | 171400000X | Health and Wellness Coach | | | INDIANA | No |
| 8 | 104100000X | Social Worker | | | INDIANA | No |
| 9 | 251B00000X | Case Management | | | INDIANA | No |
| 10 | 103K00000X | Behavior Analyst | | | INDIANA | No |
| 11 | 251300000X | Local Education Agency (LEA) | | | INDIANA | No |
| 12 | 174H00000X | Health Educator | | | INDIANA | No |
| 13 | 101YP1600X | Counselor | Pastoral | | | No |
