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 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | 850000244 | NEW HAMPSHIRE | No |
| 2 | 101YM0800X | Counselor | Mental Health | 850000244 | NEW HAMPSHIRE | No |
| 3 | 101YM0800X | Counselor | Mental Health | 100 | NEW HAMPSHIRE | No |
| 4 | 207R00000X | Internal Medicine | | 850000244 | NEW HAMPSHIRE | No |
| 5 | 2084P0800X | Psychiatry & Neurology | Psychiatry | 850000244 | NEW HAMPSHIRE | No |
| 6 | 261QF0400X | Clinic/Center | Federally Qualified Health Center (FQHC) | 850000244 | NEW HAMPSHIRE | Yes |
| 7 | 363LP2300X | Nurse Practitioner | Primary Care | 850000244 | NEW HAMPSHIRE | No |