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 | | | | No |
| 2 | 251V00000X | Voluntary or Charitable | | | | No |
| 3 | 253Z00000X | In Home Supportive Care | | | | No |
| 4 | 261QV0200X | Clinic/Center | VA | | | No |
| 5 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 6 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | | | No |
| 7 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 8 | 347C00000X | Private Vehicle | | | | No |
| 9 | 385H00000X | Respite Care | | | | No |
| 10 | 385HR2055X | Respite Care | Respite Care, Mental Illness, Child | | | No |
| 11 | 405300000X | Prevention Professional | | | | No |
| 12 | 251S00000X | Community/Behavioral Health | | | | Yes |