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) | 37LC00233200 | NEW JERSEY | No |
| 2 | 101YM0800X | Counselor | Mental Health | 37PC00590800 | NEW JERSEY | No |
| 3 | 101YM0800X | Counselor | Mental Health | 37PC00590800 | PENNSYLVANIA | No |
| 4 | 101YP2500X | Counselor | Professional | PC008591 | NEW JERSEY | No |
| 5 | 103TA0400X | Psychologist | Addiction (Substance Use Disorder) | 37LC00233200 | NEW JERSEY | No |
| 6 | 103TB0200X | Psychologist | Cognitive & Behavioral | 37PC00590800 | NEW JERSEY | No |
| 7 | 103TC2200X | Psychologist | Clinical Child & Adolescent | 37PC00590800 | NEW JERSEY | No |
| 8 | 103TF0000X | Psychologist | Family | 37PC00590800 | NEW JERSEY | No |
| 9 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | 37L00233200 | NEW JERSEY | Yes |
