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 | 251G00000X | Hospice Care, Community Based | | | | No |
| 2 | 251K00000X | Public Health or Welfare | | | | No |
| 3 | 251S00000X | Community/Behavioral Health | | | | No |
| 4 | 251V00000X | Voluntary or Charitable | | | | No |
| 5 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 6 | 253J00000X | Foster Care Agency | | | | No |
| 7 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | No |
| 8 | 3245S0500X | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | | | No |
| 9 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 10 | 261QR0405X | Clinic/Center | Rehabilitation, Substance Use Disorder | | | No |
| 11 | 101YP1600X | Counselor | Pastoral | | | No |
| 12 | 101YP2500X | Counselor | Professional | | | No |
| 13 | 103TC2200X | Psychologist | Clinical Child & Adolescent | | | No |
| 14 | 251B00000X | Case Management | | | | Yes |