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) | | | No |
| 2 | 251B00000X | Case Management | | | | No |
| 3 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 4 | 251J00000X | Nursing Care | | | | No |
| 5 | 251K00000X | Public Health or Welfare | | | | No |
| 6 | 251S00000X | Community/Behavioral Health | | | | No |
| 7 | 251V00000X | Voluntary or Charitable | | | | No |
| 8 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 9 | 261Q00000X | Clinic/Center | | | | No |
| 10 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 11 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 12 | 324500000X | Substance Abuse Rehabilitation Facility | | | | Yes |
| 13 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 14 | 261QM1100X | Clinic/Center | Military/U.S. Coast Guard Outpatient | | | No |
| 15 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | | No |
