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 | 101YP2500X | Counselor | Professional | | | No |
| 2 | 1041C0700X | Social Worker | Clinical | | | No |
| 3 | 175T00000X | Peer Specialist | | | | No |
| 4 | 251B00000X | Case Management | | | | No |
| 5 | 251S00000X | Community/Behavioral Health | | | | No |
| 6 | 253Z00000X | In Home Supportive Care | | | | No |
| 7 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 8 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 9 | 332BN1400X | Durable Medical Equipment & Medical Supplies | Nursing Facility Supplies | | | No |
| 10 | 343800000X | Secured Medical Transport (VAN) | | | | No |
| 11 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 12 | 3747P1801X | Technician | Personal Care Attendant | | | No |
| 13 | 385H00000X | Respite Care | | | | No |
| 14 | 405300000X | Prevention Professional | | | | No |
| 15 | 372600000X | Adult Companion | | | | Yes |