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 | 103T00000X | Psychologist | | | | No |
| 2 | 103TF0200X | Psychologist | Forensic | | | No |
| 3 | 103TH0004X | Psychologist | Health | | | No |
| 4 | 104100000X | Social Worker | | | | No |
| 5 | 133NN1002X | Nutritionist | Nutrition, Education | | | No |
| 6 | 136A00000X | Dietetic Technician, Registered | | | | No |
| 7 | 171400000X | Health and Wellness Coach | | | | No |
| 8 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 9 | 175T00000X | Peer Specialist | | | | No |
| 10 | 221700000X | Art Therapist | | | | No |
| 11 | 251B00000X | Case Management | | | | No |
| 12 | 251S00000X | Community/Behavioral Health | | | | No |
| 13 | 363L00000X | Nurse Practitioner | | | | No |
| 14 | 363LA2200X | Nurse Practitioner | Adult Health | | | No |
| 15 | 1041C0700X | Social Worker | Clinical | | | Yes |