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 | 101Y00000X | Counselor | | AP142735 | TEXAS | No |
| 2 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | AP142735 | TEXAS | No |
| 3 | 101YM0800X | Counselor | Mental Health | AP142735 | TEXAS | No |
| 4 | 163WC0400X | Registered Nurse | Case Management | 773383 | TEXAS | No |
| 5 | 171M00000X | Case Manager/Care Coordinator | | 773383 | TEXAS | No |
| 6 | 207RA0401X | Internal Medicine | Addiction Medicine | AP142735 | TEXAS | No |
| 7 | 2083A0300X | Preventive Medicine | Addiction Medicine | AP142735 | TEXAS | No |
| 8 | 2083C0008X | Preventive Medicine | Clinical Informatics | 773383 | TEXAS | No |
| 9 | 2083P0901X | Preventive Medicine | Public Health & General Preventive Medicine | 773383 | TEXAS | No |
| 10 | 2084A0401X | Psychiatry & Neurology | Addiction Medicine | AP142735 | TEXAS | No |
| 11 | 2084H0002X | Psychiatry & Neurology | Hospice and Palliative Medicine | AP142735 | TEXAS | No |
| 12 | 2084P0800X | Psychiatry & Neurology | Psychiatry | AP142735 | TEXAS | No |
| 13 | 2084P0804X | Psychiatry & Neurology | Child & Adolescent Psychiatry | AP142735 | TEXAS | No |
| 14 | 2084P0805X | Psychiatry & Neurology | Geriatric Psychiatry | AP142735 | TEXAS | No |
| 15 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | AP142735 | TEXAS | Yes |
