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 | 101YM0800X | Counselor | Mental Health | | | No |
| 2 | 101YP2500X | Counselor | Professional | | | No |
| 3 | 103K00000X | Behavior Analyst | | | | No |
| 4 | 251B00000X | Case Management | | | | No |
| 5 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 6 | 251S00000X | Community/Behavioral Health | | | | No |
| 7 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 8 | 253J00000X | Foster Care Agency | | | | No |
| 9 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | | | | No |
| 10 | 323P00000X | Psychiatric Residential Treatment Facility | | | | No |
| 11 | 3245S0500X | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | | | No |
| 12 | 385HR2055X | Respite Care | Respite Care, Mental Illness, Child | | | No |
| 13 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 14 | 385HR2065X | Respite Care | Respite Care, Physical Disabilities, Child | | | No |
| 15 | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | | | Yes |
