NUCC Health Provider Taxonomy Code Set 2019-07

$179 / year

This dataset shows the Health Care Provider Taxonomy code set. These code set are a collection of unique alphanumeric codes, ten characters in length. The code set is structured into three distinct “Levels” including Provider Grouping, Classification, and Area of Specialization.

Complexity

The Health Care Provider Taxonomy code set is an external, nonmedical data code set designed for use in an electronic environment, specifically within the ASC X12N Health Care transactions. This includes the transactions mandated under HIPAA.
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct “Levels” including Provider Grouping, Classification, and Area of Specialization.

The National Uniform Claim Committee (NUCC) is presently maintaining the code set. It is used in transactions specified in HIPAA and the National Provider Identifier (NPI) application for enumeration. Effective 2001, the NUCC took over the administration of the code set. Ongoing duties, including processing taxonomy code requests and maintenance of the code set, fall under the NUCC Code Subcommittee. The Health Care Provider Taxonomy code set allows a single provider (individual, group, or institution) to identify their specialty category. Providers may have one or more than one value associated with them. When determining what value or values to associate with a provider, the user needs to review the requirements of the trading partner with which the value(s) are being used.

Date Created

2017-07-01

Last Modified

2019-07-01

Version

19.0

Update Frequency

Semiannual

Temporal Coverage

2019

Spatial Coverage

United States

Source

John Snow Labs; National Uniform Claim Committee (NUCC);

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

NPI Lookup, CMS 1500, CMS 1500 Claim Form, Taxonomy Codes, HCFA 1500, Taxonomy Definition, Health Care Provider, NUCC, Taxonomy, Taxonomy Code List

Other Titles

Taxonomy Code List July 2019, National Ultimate Claim Form NUCC Taxonomy Code Set July 2019, Health Care Provider Taxonomy Code Set July 2019

NameDescriptionTypeConstraints
CodeTaxonomy code set is a collection of unique alphanumeric codes, ten characters in length.stringrequired : 1
GroupingThe code set is structured into three distinct "Levels" and one of it is “Provider Grouping”. Level I, Provider Grouping: A major grouping of service(s) or occupation(s) of health care providers. For example: Allopathic & Osteopathic Physicians, Dental Providers, Hospitals, etc.stringrequired : 1
ClassificationThe code set is structured into three distinct "Levels" and one of it is “Classification”. Level II, Classification: A more specific service or occupation related to the Provider Grouping. For example, the Classification for Allopathic & Osteopathic Physicians is based upon the General Specialty Certificates as issued by the appropriate national boards. The following boards will however, have their general certificates appear as Level III areas of specialization strictly due to display limitations of the code set for Boards that have multiple general certificates: Medical Genetics, Preventive Medicine, Psychiatry & Neurology, Radiology, Surgery, Otolaryngology, Pathology.stringrequired : 1
SpecializationThe code set is structured into three distinct "Levels" and one of it is “Area of Specialization”. Level III, Area of Specialization: A more specialized area of the Classification in which a provider chooses to practice or make services available. For example, the Area of Specialization for provider type Allopathic & Osteopathic Physicians is based upon the Subspecialty Certificates as issued by the appropriate national boards. The Health Care Provider Taxonomy code set Levels are organized to allow for drilling down to the provider's most specific level of specialization. The ten digit codes for each provider category are unique and contain no embedded logic. The codes and categories are to be used exactly as they are assigned in the Taxonomy list. At no time should codes be separated to form new codes, parsed apart, or edited on any one position within the code. See "How do I request a change?" if you identify a need for a provider category.string-
DefinitionDefining the code at each level.string-
NotesFootnotes on updates, revision and addition of new code.string-
CodeGroupingClassificationSpecializationDefinitionNotes
101Y00000XBehavioral Health & Social Service ProvidersCounselorA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.
101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Definition to come...
101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthDefinition to come...
101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralDefinition to come...
101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalDefinition to come...
101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolDefinition to come
102L00000XBehavioral Health & Social Service ProvidersPsychoanalystPsychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst's training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation.Source: Registry of Psychoanalysts published by the National Association for the Advancement of Psychoanalysis [1/1/2007: new; 7/1/2007: definition changed, source changed]
102X00000XBehavioral Health & Social Service ProvidersPoetry TherapistA medical or mental health professional who has attained credentials after satisfactorily completing a poetry therapy training program approved by the National Federation for Biblio/Poetry Therapy (NFBPT). Training includes didactic work, peer group experience, and supervised practicum.<br/><br/>An NFBPT credentialed certified poetry therapist (CPT) or registered poetry therapist (PTR) integrates discussion of published literature and reflective or creative writing into the psychotherapeutic process to achieve goals of emotional well-being, symptom reduction, and improved interpersonal communication.<br/><br/>Certified poetry therapists and registered poetry therapists are licensed mental health professionals with advanced training in the theory and practice of poetry therapy. CPTs and PTRs are qualified to work independently with emotionally troubled populations in clinical, rehabilitative, community and educational institutions. They also work with emotionally healthy individuals adjusting to developmental issues, life crises, or disabilities. The PTR completes an advanced level of training and fieldwork, commensurate with the highest levels of clinical practice. The terms poetry therapy, applied poetry facilitation, journal therapy, bibliotherapy, biblio/poetry therapy, and poetry/journal therapy reflect the interactive use of literature and/or writing to promote personal growth and emotional healing. In addition to poetry, poetry therapy applies all forms or written and spoken language including story, myth, folk and fairy tale and other genres of poetic expression as well as journal, memoir, and narrative. The poetry therapy process integrates discussion of published literature and reflective or creative writing for expression and communication of thoughts and feelings to facilitate participants' emotional well-being. The field of poetry therapy encompasses all of these modalities, though only a duly trained and licensed clinical practitioner can be credentialed as CPT or PTR.Source: The National Federation for Biblio/Poetry Therapy [7/1/2007: new]
103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistA clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.Source: American Psychological Association, www.apa.org [1/1/2007: title modified, 1/1/2019: defintion modified]
103GC0700XBehavioral Health & Social Service ProvidersClinical NeuropsychologistClinical[1/1/2007: marked inactive, use 103G00000X]