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 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 2 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 3 | 103T00000X | Psychologist | | | | No |
| 4 | 172A00000X | Driver | | | | No |
| 5 | 372600000X | Adult Companion | | | | No |
| 6 | 163W00000X | Registered Nurse | | | | No |
| 7 | 251B00000X | Case Management | | | | No |
| 8 | 164W00000X | Licensed Practical Nurse | | | | No |
| 9 | 310400000X | Assisted Living Facility | | | | No |
| 10 | 171400000X | Health and Wellness Coach | | | | No |
| 11 | 101Y00000X | Counselor | | | | No |
| 12 | 175T00000X | Peer Specialist | | | | Yes |