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 | 101YP2500X | Counselor | Professional | | | No |
| 2 | 106S00000X | Behavior Technician | | | | No |
| 3 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 4 | 172V00000X | Community Health Worker | | | | No |
| 5 | 1744G0900X | Specialist | Graphics Designer | | | No |
| 6 | 385HR2050X | Respite Care | Respite Care Camp | | | No |
| 7 | 385HR2060X | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities | | | No |
| 8 | 405300000X | Prevention Professional | | | | No |
| 9 | 251B00000X | Case Management | | | | No |
| 10 | 251S00000X | Community/Behavioral Health | | | | No |
| 11 | 251V00000X | Voluntary or Charitable | | | | No |
| 12 | 252Y00000X | Early Intervention Provider Agency | | | | No |
| 13 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 14 | 347C00000X | Private Vehicle | | | | No |
| 15 | 175T00000X | Peer Specialist | | | | Yes |
