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 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 2 | 101YM0800X | Counselor | Mental Health | | | No |
| 3 | 106S00000X | Behavior Technician | | | | No |
| 4 | 163W00000X | Registered Nurse | | | | No |
| 5 | 164X00000X | Licensed Vocational Nurse | | | | No |
| 6 | 171400000X | Health and Wellness Coach | | | | No |
| 7 | 171M00000X | Case Manager/Care Coordinator | | | | Yes |
| 8 | 171R00000X | Interpreter | | | | No |
| 9 | 172V00000X | Community Health Worker | | | | No |
| 10 | 253Z00000X | In Home Supportive Care | | | | No |
| 11 | 261QA0600X | Clinic/Center | Adult Day Care | | | No |
| 12 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 13 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 14 | 373H00000X | Day Training/Habilitation Specialist | | | | No |
| 15 | 385H00000X | Respite Care | | | | No |