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 | 101YM0800X | Counselor | Mental Health | | | Yes |
| 3 | 101YP1600X | Counselor | Pastoral | | | No |
| 4 | 103K00000X | Behavior Analyst | | | | No |
| 5 | 106S00000X | Behavior Technician | | | | No |
| 6 | 163WA0400X | Registered Nurse | Addiction (Substance Use Disorder) | | | No |
| 7 | 171400000X | Health and Wellness Coach | | | | No |
| 8 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 9 | 172V00000X | Community Health Worker | | | | No |
| 10 | 221700000X | Art Therapist | | | | No |
| 11 | 364SC1501X | Clinical Nurse Specialist | Community Health/Public Health | | | No |
| 12 | 374K00000X | Religious Nonmedical Practitioner | | | | No |