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 | 103K00000X | Behavior Analyst | | | | No |
| 2 | 101YP1600X | Counselor | Pastoral | | | No |
| 3 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 4 | 133NN1002X | Nutritionist | Nutrition, Education | | | No |
| 5 | 374K00000X | Religious Nonmedical Practitioner | | | | No |
| 6 | 172V00000X | Community Health Worker | | | | No |
| 7 | 174H00000X | Health Educator | | | | No |
| 8 | 175F00000X | Naturopath | | | | No |
| 9 | 174400000X | Specialist | | | | No |
| 10 | 246Z00000X | Specialist/Technologist, Other | | | | No |
| 11 | 225CA2400X | Rehabilitation Counselor | Assistive Technology Practitioner | PA-2279 | MARYLAND | No |
| 12 | 225700000X | Massage Therapist | | MSG00005670 | PENNSYLVANIA | No |
| 13 | 225CA2400X | Rehabilitation Counselor | Assistive Technology Practitioner | PA-2279 | PENNSYLVANIA | No |
| 14 | 225CA2500X | Rehabilitation Counselor | Assistive Technology Supplier | PA-2279 | PENNSYLVANIA | No |
| 15 | 251B00000X | Case Management | | | | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | AL011937 | OTHER | | UNION CERTIFICATION BY HYPNOTHERAPISTS LOCAL NO. 472 |
| 2 | PA-2279 | OTHER | WEST VIRGINIA | COGNITIVE TRAINING SPECIALIST THROUGH UNIQUE LOGIC & TECHNOLOGY, INC |
| 3 | PA-2279 | OTHER | MARYLAND | COGNITIVE TRAINING SPECIALIST THROUGH UNIQUE LOGIC & TECHNOLOGY, INC |
| 4 | MSG00005670 | OTHER | PENNSYLVANIA | MASSAGE THERAPY LICENSE THROUGH PITTSBURGH SCHOOL OF MASSAGE |
| 5 | PA-2279 | OTHER | PENNSYLVANIA | COGNITIVE TRAINING SPECIALIST THROUGH UNIQUE LOGIC & TECHNOLOGY, INC |
| 6 | 1082811775 | OTHER | | GLC CERTIFICATION BY SPENCER INSTITUTE(GREEN LIVING) |
| 7 | DC0234 | OTHER | PENNSYLVANIA | BOARD CERTIFICATION- DISASTER CRISIS OUTREACH&REFERRAL PROF. (PA CERT. BOARD) |
| 8 | 70393001 | OTHER | | BOARD CERTIFICATION AADP (AMERICAN ASSOCIATION OF DRUGLESS PRACTITIONERS) |
| 9 | NP-001070 | OTHER | | BOARD CERTIFICATION AIP (ASSOCIATION FOR INTEGRATIVE PSYCHOLOGY) |
| 10 | PA-2279 | OTHER | OHIO | COGNITIVE TRAINING SPECIALIST THROUGH UNIQUE LOGIC & TECHNOLOGY, INC |
| 11 | PA-2279 | OTHER | VIRGINIA | COGNITIVE TRAINING SPECIALIST THROUGH UNIQUE LOGIC & TECHNOLOGY, INC |
