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 | 172V00000X | Community Health Worker | | | | No |
| 2 | 101Y00000X | Counselor | | | | No |
| 3 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 4 | 101YP2500X | Counselor | Professional | | | No |
| 5 | 103K00000X | Behavior Analyst | | | | No |
| 6 | 1041C0700X | Social Worker | Clinical | | | No |
| 7 | 106E00000X | Assistant Behavior Analyst | | | | No |
| 8 | 106S00000X | Behavior Technician | | | | No |
| 9 | 163W00000X | Registered Nurse | | | | No |
| 10 | 2084P0800X | Psychiatry & Neurology | Psychiatry | | | No |
| 11 | 251B00000X | Case Management | | | | No |
| 12 | 253Z00000X | In Home Supportive Care | | | | No |
| 13 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 14 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | | | No |
| 15 | 251S00000X | Community/Behavioral Health | | | | Yes |