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 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | | | No |
2 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
3 | 163WA0400X | Registered Nurse | Addiction (Substance Use Disorder) | | | No |
4 | 164W00000X | Licensed Practical Nurse | | | | No |
5 | 2083A0300X | Preventive Medicine | Addiction Medicine | | | No |
6 | 2084A0401X | Psychiatry & Neurology | Addiction Medicine | | | No |
7 | 251B00000X | Case Management | | | | No |
8 | 261QH0100X | Clinic/Center | Health Service | | | No |
9 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
10 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
11 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
12 | 261QM1300X | Clinic/Center | Multi-Specialty | | | No |
13 | 261QM2500X | Clinic/Center | Medical Specialty | | | No |
14 | 363LF0000X | Nurse Practitioner | Family | | | No |
15 | 251S00000X | Community/Behavioral Health | | | | Yes |