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 | 101YP2500X | Counselor | Professional | | | No |
| 4 | 103G00000X | Clinical Neuropsychologist | | | | No |
| 5 | 103TC1900X | Psychologist | Counseling | | | No |
| 6 | 104100000X | Social Worker | | | | No |
| 7 | 1041C0700X | Social Worker | Clinical | | | No |
| 8 | 106H00000X | Marriage & Family Therapist | | | | No |
| 9 | 133NN1002X | Nutritionist | Nutrition, Education | | | No |
| 10 | 2084B0040X | Psychiatry & Neurology | Behavioral Neurology & Neuropsychiatry | | | No |
| 11 | 2084P0800X | Psychiatry & Neurology | Psychiatry | | | No |
| 12 | 251S00000X | Community/Behavioral Health | | | | No |
| 13 | 261QM0850X | Clinic/Center | Adult Mental Health | | | No |
| 14 | 363LA2200X | Nurse Practitioner | Adult Health | | | No |
| 15 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | | | No |
