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 | 103T00000X | Psychologist | | | | No |
| 3 | 103TA0700X | Psychologist | Adult Development & Aging | | | No |
| 4 | 103TC2200X | Psychologist | Clinical Child & Adolescent | | | No |
| 5 | 1041C0700X | Social Worker | Clinical | | | No |
| 6 | 1041S0200X | Social Worker | School | | | No |
| 7 | 163W00000X | Registered Nurse | | | | No |
| 8 | 164W00000X | Licensed Practical Nurse | | | | No |
| 9 | 171000000X | Military Health Care Provider | | | | No |
| 10 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 11 | 251B00000X | Case Management | | | | No |
| 12 | 251S00000X | Community/Behavioral Health | | | | No |
| 13 | 253Z00000X | In Home Supportive Care | | | | No |
| 14 | 374U00000X | Home Health Aide | | | | No |
| 15 | 251E00000X | Home Health | | | | Yes |