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 | 101YM0800X | Counselor | Mental Health | 6420803 | VIRGINIA | No |
| 2 | 103K00000X | Behavior Analyst | | 243328 | MINNESOTA | No |
| 3 | 103TA0400X | Psychologist | Addiction (Substance Use Disorder) | POST-DOCTORAL FELLOW | TEXAS | No |
| 4 | 1041C0700X | Social Worker | Clinical | 500297279 | VIRGINIA | No |
| 5 | 111NN0400X | Chiropractor | Neurology | 243328 | MINNESOTA | No |
| 6 | 146D00000X | Personal Emergency Response Attendant | | A649065 | DISTRICT OF COLUMBIA | No |
| 7 | 146N00000X | Emergency Medical Technician, Basic | | A649065 | DISTRICT OF COLUMBIA | No |
| 8 | 207Q00000X | Family Medicine | | 9156199 | KANSAS | No |
| 9 | 207SG0201X | Medical Genetics | Clinical Genetics (M.D.) | 00188147 | ILLINOIS | No |
| 10 | 207VH0002X | Obstetrics & Gynecology | Hospice and Palliative Medicine | 000557546I | DISTRICT OF COLUMBIA | No |
| 11 | 2083P0901X | Preventive Medicine | Public Health & General Preventive Medicine | 25373342 | FLORIDA | No |
| 12 | 2084H0002X | Psychiatry & Neurology | Hospice and Palliative Medicine | 243328 | MINNESOTA | No |
| 13 | 2084P2900X | Psychiatry & Neurology | Pain Medicine | 243328 | MINNESOTA | No |
| 14 | 390200000X | Student in an Organized Health Care Education/Training Program | | | | No |
| 15 | 207QH0002X | Family Medicine | Hospice and Palliative Medicine | 00188147 | ILLINOIS | Yes |
