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 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 2 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | | | | No |
| 3 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | No |
| 4 | 363LF0000X | Nurse Practitioner | Family | | | No |
| 5 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | | | No |
| 6 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 7 | 261QR0401X | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | | | No |
| 8 | 261QR0400X | Clinic/Center | Rehabilitation | | | No |
| 9 | 101YM0800X | Counselor | Mental Health | | | No |
| 10 | 273Y00000X | Rehabilitation Unit | | | | No |
| 11 | 251S00000X | Community/Behavioral Health | | | | No |
| 12 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 13 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 14 | 261QR1300X | Clinic/Center | Rural Health | | | No |
| 15 | 251B00000X | Case Management | | | | Yes |