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 | 101Y00000X | Counselor | | | | No |
| 2 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 3 | 101YM0800X | Counselor | Mental Health | | | No |
| 4 | 104100000X | Social Worker | | | | No |
| 5 | 106S00000X | Behavior Technician | | | | No |
| 6 | 163W00000X | Registered Nurse | | | | No |
| 7 | 163WP0807X | Registered Nurse | Psychiatric/Mental Health, Child & Adolescent | | | No |
| 8 | 171400000X | Health and Wellness Coach | | | | No |
| 9 | 172A00000X | Driver | | | | No |
| 10 | 174H00000X | Health Educator | | | | No |
| 11 | 373H00000X | Day Training/Habilitation Specialist | | | | No |
| 12 | 374J00000X | Doula | | | | No |
| 13 | 405300000X | Prevention Professional | | | | No |
| 14 | 171M00000X | Case Manager/Care Coordinator | | | | Yes |