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 | 305S00000X | Point of Service | | | | No |
| 2 | 347C00000X | Private Vehicle | | | | No |
| 3 | 101YP2500X | Counselor | Professional | LC13471 | MARYLAND | Yes |
| 4 | 247200000X | Technician, Other | | | MARYLAND | No |
| 5 | 251B00000X | Case Management | | | | No |
| 6 | 305R00000X | Preferred Provider Organization | | | | No |
| 7 | 101Y00000X | Counselor | | | | No |
| 8 | 101YM0800X | Counselor | Mental Health | PC-0011391 | DELAWARE | No |
| 9 | 101YP2500X | Counselor | Professional | PRC200001957 | DISTRICT OF COLUMBIA | No |
| 10 | 174400000X | Specialist | | | | No |
| 11 | 225400000X | Rehabilitation Practitioner | | | | No |
| 12 | 225C00000X | Rehabilitation Counselor | | | | No |
| 13 | 101YP2500X | Counselor | Professional | 0701014409 | VIRGINIA | No |
| 14 | 101YP2500X | Counselor | Professional | PC015933 | PENNSYLVANIA | No |
| 15 | 171M00000X | Case Manager/Care Coordinator | | | | No |
