PRACTITIONER ENROLLMENT CODES AND TAXONOMY

USE CONTROL(Ctrl) + ( F ) TO SEARCH TABLE

                                                                                         PRACTITIONER ENROLLMENT CODES AND TAXONOMY

Category Code Category Description Taxonomy Code Taxonomy Description
SW Social Worker (Registered, Licensed) 104100000X Social Worker
SW Social Worker (Registered, Licensed) 1041C0700X Social Worker, Clinical
SW Social Worker (Registered, Licensed) 1041S0200X Social Worker, School
SW Social Worker (Registered, Licensed) 101YM0800X Counselor, Mental Health
MD Medical Doctor 208D00000X Physician, General Practice
MD Medical Doctor 2084F0202X Physician, Forensic Psychiatry
MD Medical Doctor 2084P0800X Physician, Psychiatry
MD Medical Doctor 2084P0802X Physician, Addiction Psychiatry
MD Medical Doctor 2084P0804X Physician, Child & Adolescent Psychiatry
MD Medical Doctor 2084P0805X Physician, Geriatric Psychiatry
DO Doctor of Osteopathy 208D00000X Physician, General Practice
DO Doctor of Osteopathy 2084F0202X Physician, Forensic Psychiatry
DO Doctor of Osteopathy 2084P0800X Physician, Psychiatry
DO Doctor of Osteopathy 2084P0802X Physician, Addiction Psychiatry
DO Doctor of Osteopathy 2084P0804X Physician, Child & Adolescent Psychiatry
DO Doctor of Osteopathy 2084P0805X Physician, Geriatric Psychiatry
MSWIntern Social Work Intern (Student) 390200000X Student in an Organized Health Care Education/Training Program
MFT MFT (Registered, Licensed) 101YM0800X Counselor, Mental Health
MFT MFT (Registered, Licensed) 106H00000X Marriage and Family Therapist
MFTTrainee Marriage and Family Therapist Trainee (Student) 390200000X Student in an Organized Health Care Education/Training Program
PhD PhD Psychologist (Waivered, Licensed) 103T00000X Psychologist
PhD PhD Psychologist (Waivered, Licensed) 103TA0400X Psychologist, Addiction (Substance Use Disorder)
PhD PhD Psychologist (Waivered, Licensed) 103TA0700X Psychologist, Adult Development & Aging
PhD PhD Psychologist (Waivered, Licensed) 103TB0200X Psychologist, Cognitive & Behavioral
PhD PhD Psychologist (Waivered, Licensed) 103TC0700X Psychologist, Clinical
PhD PhD Psychologist (Waivered, Licensed) 103TC1900X Psychologist, Counseling
PhD PhD Psychologist (Waivered, Licensed) 103TC2200X Psychologist, Clinical Child & Adolescent
PhD PhD Psychologist (Waivered, Licensed) 103TP2701X Psychologist, Group Psychotherapy
PhD PhD Psychologist (Waivered, Licensed) 225C00000X Rehabilitation Counselor
PsyD PsyD Psychologist (Waivered, Licensed) 103T00000X Psychologist
PsyD PsyD Psychologist (Waivered, Licensed) 103TA0400X Psychologist, Addiction (Substance Use Disorder)
PsyD PsyD Psychologist (Waivered, Licensed) 103TA0700X Psychologist, Adult Development & Aging
PsyD PsyD Psychologist (Waivered, Licensed) 103TB0200X Psychologist, Cognitive & Behavioral
PsyD PsyD Psychologist (Waivered, Licensed) 103TC0700X Psychologist, Clinical
PsyD PsyD Psychologist (Waivered, Licensed) 103TC1900X Psychologist, Counseling
PsyD PsyD Psychologist (Waivered, Licensed) 103TC2200X Psychologist, Clinical Child & Adolescent
PsyD PsyD Psychologist (Waivered, Licensed) 103TP2701X Psychologist, Group Psychotherapy
PsyD PsyD Psychologist (Waivered, Licensed) 225C00000X Rehabilitation Counselor
PsychIntern Psychologist Intern/Practicum Student 390200000X Student in an Organized Health Care Education/Training Program
RN Registered Nurse 163W00000X Registered Nurse
RN Registered Nurse 163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
RN Registered Nurse 163WC1500X Registered Nurse, Community Health
RN Registered Nurse 163WP0807X Registered Nurse, Psychiatric/Mental Health Child & Adolescent
RN Registered Nurse 163WP0808X Registered Nurse, Psychiatric/ Mental Health
RN Registered Nurse 163WP0809X Registered Nurse, Psychiatric/Mental Health Adult
RN Registered Nurse 364S00000X Clinical Nurse Specialist
RN Registered Nurse 364SC1501X Clinical Nurse Specialist, Community Health/Public Health
RN Registered Nurse 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health Child & Adolescent
RN Registered Nurse 364SP0808X Clinical Nurse Specialist, Psychiatric/Mental Health
RN Registered Nurse 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health Adult
RN Registered Nurse 364SP0810X Clinical Nurse Specialist Psychiatric/Mental Health Child & Family
RN Registered Nurse 364SP0811X Clinical Nurse Specialist Psychiatric/Mental Health Chronically Ill
RN Registered Nurse 364SP0812X Clinical Nurse Specialist Psychiatric/Mental Health Community
RN Registered Nurse 364SP0813X Clinical Nurse Specialist Psychiatric/Mental Health Geropsychiatric
RN Registered Nurse 164X00000X Licensed Vocational Nurse
RNStudent Nursing Student 390200000X Student in an Organized Health Care Education/Training Program
NP Nurse Practitioner 363L00000X Nurse Practitioner
NP Nurse Practitioner 363LC1500X Nurse Practitioner, Community Health
NP Nurse Practitioner 363LP0808X Nurse Practitioner, Psychiatric/ Mental Health
NPStudent Nurse Practitioner Student 390200000X Student in an Organized Health Care Education/Training Program
LPT Licensed Psych Tech 167G00000X Licensed Psychiatric Technician
PTStudent Student Psych Tech 390200000X Student in an Organized Health Care Education/Training Program
OtherStudent Other Student 390200000X Student in an Organized Health Care Education/Training Program
Peer Advocate Co-Sig Peer Advocate (Co-Signature Req) 101Y00000X Counselor
Peer Advocate Co-Sig Peer Advocate (Co-Signature Req) 101YA0400X Counselor, Addiction (Substance Use Disorder)
Peer Advocate Co-Sig Peer Advocate (Co-Signature Req) 101YP2500X Counselor, Professional
Peer Advocate Co-Sig Peer Advocate (Co-Signature Req) 101YS0200X Counselor, School
Peer Advocate Co-Sig Peer Advocate (Co-Signature Req) 102X00000X Poetry Therapist
Peer Advocate Co-Sig Peer Advocate (Co-Signature Req) 171M00000X Case Manager/Care Coordinator
Peer Advocate Co-Sig Peer Advocate (Co-Signature Req) 172V00000X Community Health Worker
Peer Advocate Co-Sig Peer Advocate (Co-Signature Req) 221700000X Art Therapist
Peer Advocate Co-Sig Peer Advocate (Co-Signature Req) 222Q00000X Developmental Therapist
Peer Advocate Co-Sig Peer Advocate (Co-Signature Req) 225400000X Rehabilitation Practitioner
Peer Advocate Co-Sig Peer Advocate (Co-Signature Req) 225600000X Dance Therapist
Peer Advocate Co-Sig Peer Advocate (Co-Signature Req) 225800000X Recreation Therapist
Peer Advocate Co-Sig Peer Advocate (Co-Signature Req) 225A00000X Music Therapist
Peer Advocate Co-Sig Peer Advocate (Co-Signature Req) 225X00000X Occupational Therapist
Peer Advocate Co-Sig Peer Advocate (Co-Signature Req) 225XM0800X Occupational Therapist, Mental Health
Peer Advocate Co-Sig Peer Advocate (Co-Signature Req) 224Z00000X Occupational Therapy Assistant
Peer Advocate Co-Sig Peer Advocate (Co-Signature Req) 374700000X Technician
Peer Advocate Co-Sig Peer Advocate (Co-Signature Req) 3747A0650X Technician, Attendant Care Provider
MCW Co-Sig Medical Case Worker (Co-Signature Req) 101Y00000X Counselor
MCW Co-Sig Medical Case Worker (Co-Signature Req) 101YA0400X Counselor, Addiction (Substance Use Disorder)
MCW Co-Sig Medical Case Worker (Co-Signature Req) 101YP2500X Counselor, Professional
MCW Co-Sig Medical Case Worker (Co-Signature Req) 101YS0200X Counselor, School
MCW Co-Sig Medical Case Worker (Co-Signature Req) 102X00000X Poetry Therapist
MCW Co-Sig Medical Case Worker (Co-Signature Req) 171M00000X Case Manager/Care Coordinator
MCW Co-Sig Medical Case Worker (Co-Signature Req) 172V00000X Community Health Worker
MCW Co-Sig Medical Case Worker (Co-Signature Req) 221700000X Art Therapist
MCW Co-Sig Medical Case Worker (Co-Signature Req) 222Q00000X Developmental Therapist
MCW Co-Sig Medical Case Worker (Co-Signature Req) 225400000X Rehabilitation Practitioner
MCW Co-Sig Medical Case Worker (Co-Signature Req) 225600000X Dance Therapist
MCW Co-Sig Medical Case Worker (Co-Signature Req) 225800000X Recreation Therapist
MCW Co-Sig Medical Case Worker (Co-Signature Req) 225A00000X Music Therapist
MCW Co-Sig Medical Case Worker (Co-Signature Req) 225X00000X Occupational Therapist
MCW Co-Sig Medical Case Worker (Co-Signature Req) 225XM0800X Occupational Therapist, Mental Health
MCW Co-Sig Medical Case Worker (Co-Signature Req) 224Z00000X Occupational Therapy Assistant
MCW Co-Sig Medical Case Worker (Co-Signature Req) 374700000X Technician
MCW Co-Sig Medical Case Worker (Co-Signature Req) 3747A0650X Technician, Attendant Care Provider
CommWork Co-Sig Medical Case Worker (Co-Signature Req) 101Y00000X Counselor
CommWork Co-Sig Medical Case Worker (Co-Signature Req) 101YA0400X Counselor, Addiction (Substance Use Disorder)
CommWork Co-Sig Medical Case Worker (Co-Signature Req) 101YP2500X Counselor, Professional
CommWork Co-Sig Medical Case Worker (Co-Signature Req) 101YS0200X Counselor, School
CommWork Co-Sig Medical Case Worker (Co-Signature Req) 102X00000X Poetry Therapist
CommWork Co-Sig Medical Case Worker (Co-Signature Req) 171M00000X Case Manager/Care Coordinator
CommWork Co-Sig Medical Case Worker (Co-Signature Req) 172V00000X Community Health Worker
CommWork Co-Sig Medical Case Worker (Co-Signature Req) 221700000X Art Therapist
CommWork Co-Sig Medical Case Worker (Co-Signature Req) 222Q00000X Developmental Therapist
CommWork Co-Sig Medical Case Worker (Co-Signature Req) 225400000X Rehabilitation Practitioner
CommWork Co-Sig Medical Case Worker (Co-Signature Req) 225600000X Dance Therapist
CommWork Co-Sig Medical Case Worker (Co-Signature Req) 225800000X Recreation Therapist
CommWork Co-Sig Medical Case Worker (Co-Signature Req) 225A00000X Music Therapist
CommWork Co-Sig Medical Case Worker (Co-Signature Req) 225X00000X Occupational Therapist
CommWork Co-Sig Medical Case Worker (Co-Signature Req) 225XM0800X Occupational Therapist, Mental Health
CommWork Co-Sig Medical Case Worker (Co-Signature Req) 224Z00000X Occupational Therapy Assistant
CommWork Co-Sig Medical Case Worker (Co-Signature Req) 374700000X Technician
CommWork Co-Sig Medical Case Worker (Co-Signature Req) 3747A0650X Technician, Attendant Care Provider
Peer Advocate Peer Advocate 101Y00000X Counselor
Peer Advocate Peer Advocate 101YA0400X Counselor, Addiction (Substance Use Disorder)
Peer Advocate Peer Advocate 101YP2500X Counselor, Professional
Peer Advocate Peer Advocate 101YS0200X Counselor, School
Peer Advocate Peer Advocate 102X00000X Poetry Therapist
Peer Advocate Peer Advocate 171M00000X Case Manager/Care Coordinator
Peer Advocate Peer Advocate 172V00000X Community Health Worker
Peer Advocate Peer Advocate 221700000X Art Therapist
Peer Advocate Peer Advocate 222Q00000X Developmental Therapist
Peer Advocate Peer Advocate 225400000X Rehabilitation Practitioner
Peer Advocate Peer Advocate 225600000X Dance Therapist
Peer Advocate Peer Advocate 225800000X Recreation Therapist
Peer Advocate Peer Advocate 225A00000X Music Therapist
Peer Advocate Peer Advocate 225X00000X Occupational Therapist
Peer Advocate Peer Advocate 225XM0800X Occupational Therapist, Mental Health
Peer Advocate Peer Advocate 224Z00000X Occupational Therapy Assistant
Peer Advocate Peer Advocate 374700000X Technician
Peer Advocate Peer Advocate 3747A0650X Technician, Attendant Care Provider
MCW Medical Case Worker 101Y00000X Counselor
MCW Medical Case Worker 101YA0400X Counselor, Addiction (Substance Use Disorder)
MCW Medical Case Worker 101YP2500X Counselor, Professional
MCW Medical Case Worker 101YS0200X Counselor, School
MCW Medical Case Worker 102X00000X Poetry Therapist
MCW Medical Case Worker 171M00000X Case Manager/Care Coordinator
MCW Medical Case Worker 172V00000X Community Health Worker
MCW Medical Case Worker 221700000X Art Therapist
MCW Medical Case Worker 222Q00000X Developmental Therapist
MCW Medical Case Worker 225400000X Rehabilitation Practitioner
MCW Medical Case Worker 225600000X Dance Therapist
MCW Medical Case Worker 225800000X Recreation Therapist
MCW Medical Case Worker 225A00000X Music Therapist
MCW Medical Case Worker 225X00000X Occupational Therapist
MCW Medical Case Worker 225XM0800X Occupational Therapist, Mental Health
MCW Medical Case Worker 224Z00000X Occupational Therapy Assistant
MCW Medical Case Worker 374700000X Technician
MCW Medical Case Worker 3747A0650X Technician, Attendant Care Provider
Community Worker Mental Health Worker 101Y00000X Counselor
Community Worker Mental Health Worker 101YA0400X Counselor, Addiction (Substance Use Disorder)
Community Worker Mental Health Worker 101YP2500X Counselor, Professional
Community Worker Mental Health Worker 101YS0200X Counselor, School
Community Worker Mental Health Worker 102X00000X Poetry Therapist
Community Worker Mental Health Worker 171M00000X Case Manager/Care Coordinator
Community Worker Mental Health Worker 172V00000X Community Health Worker
Community Worker Mental Health Worker 221700000X Art Therapist
Community Worker Mental Health Worker 222Q00000X Developmental Therapist
Community Worker Mental Health Worker 225400000X Rehabilitation Practitioner
Community Worker Mental Health Worker 225600000X Dance Therapist
Community Worker Mental Health Worker 225800000X Recreation Therapist
Community Worker Mental Health Worker 225A00000X Music Therapist
Community Worker Mental Health Worker 225X00000X Occupational Therapist
Community Worker Mental Health Worker 225XM0800X Occupational Therapist, Mental Health
Community Worker Mental Health Worker 224Z00000X Occupational Therapy Assistant
Community Worker Mental Health Worker 374700000X Technician
Community Worker Mental Health Worker 3747A0650X Technician, Attendant Care Provider
Pharm Pharmacist 1835G0000X Pharmacist, General Practice
Pharm Pharmacist 1835P1200X Pharmacist, Pharmacotherapy
Pharm Pharmacist 1835P1300X Pharmacist, Psychiatric
PA Physician Assistant 363A00000X Physician Assistant
FW Financial Worker 171M00000X Case Manager/Care Coordinator
FW Financial Worker 172V00000X Community Health Worker
ADMIN Non-Disciplined Administrative 171M00000X Case Manager/Care Coordinator
ADMIN Non-Disciplined Administrative 172V00000X Community Health Worker
RESIDENT MD/DO Resident 174400000X Specialist
LVN Licensed Vocational Nurse 164X00000X Licensed Vocational Nurse