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 | 251J00000X | Nursing Care | | | | No |
| 3 | 251S00000X | Community/Behavioral Health | | | | No |
| 4 | 253Z00000X | In Home Supportive Care | | | | No |
| 5 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 6 | 261QI0500X | Clinic/Center | Infusion Therapy | | | No |
| 7 | 347E00000X | Transportation Broker | | | | No |
| 8 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | | | No |
| 9 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 10 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 11 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 12 | 261QM2800X | Clinic/Center | Methadone | | | No |
| 13 | 385HR2055X | Respite Care | Respite Care, Mental Illness, Child | | | No |
| 14 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 15 | 343800000X | Secured Medical Transport (VAN) | | | | Yes |
