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 | | 0000146 | OHIO | No |
| 2 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | CDCA 140008 | OHIO | No |
| 3 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | CDCA 140335 | OHIO | No |
| 4 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | CDCA 130975 | OHIO | No |
| 5 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | LCDC 991775.3 | OHIO | No |
| 6 | 1041C0700X | Social Worker | Clinical | 0006084 | OHIO | No |
| 7 | 163WA0400X | Registered Nurse | Addiction (Substance Use Disorder) | RN294057 | OHIO | No |
| 8 | 164W00000X | Licensed Practical Nurse | | PN131023 | OHIO | No |
| 9 | 207Q00000X | Family Medicine | | 35.072050 | OHIO | No |
| 10 | 207R00000X | Internal Medicine | | 35076827 | OHIO | No |
| 11 | 2084A0401X | Psychiatry & Neurology | Addiction Medicine | 35039200 | OHIO | No |
| 12 | 208D00000X | General Practice | | | | Yes |
