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 | 251B00000X | Case Management | | | | No |
| 2 | 253Z00000X | In Home Supportive Care | | | | No |
| 3 | 385H00000X | Respite Care | | | | No |
| 4 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 5 | 172V00000X | Community Health Worker | | | | No |
| 6 | 106S00000X | Behavior Technician | | | | No |
| 7 | 164X00000X | Licensed Vocational Nurse | | | | No |
| 8 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 9 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 10 | 373H00000X | Day Training/Habilitation Specialist | | | | No |
| 11 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 12 | 261QD1600X | Clinic/Center | Developmental Disabilities | | | No |
| 13 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 14 | 106H00000X | Marriage & Family Therapist | | | | No |
| 15 | 251S00000X | Community/Behavioral Health | | | | Yes |