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 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 3 | 101YM0800X | Counselor | Mental Health | | | No |
| 4 | 101YP2500X | Counselor | Professional | | | No |
| 5 | 104100000X | Social Worker | | | | No |
| 6 | 1041C0700X | Social Worker | Clinical | | | No |
| 7 | 106H00000X | Marriage & Family Therapist | | | | No |
| 8 | 106S00000X | Behavior Technician | | | | No |
| 9 | 163W00000X | Registered Nurse | | | | No |
| 10 | 163WA0400X | Registered Nurse | Addiction (Substance Use Disorder) | | | No |
| 11 | 163WC0400X | Registered Nurse | Case Management | | | No |
| 12 | 163WC1500X | Registered Nurse | Community Health | | | No |
| 13 | 163WH0200X | Registered Nurse | Home Health | | | No |
| 14 | 174H00000X | Health Educator | | | | No |
| 15 | 171M00000X | Case Manager/Care Coordinator | | | | Yes |