Provider type

Provider type description

Advanced registered nurse practitioner (ARNP)

78, 789

Ambulatory surgical centers

36

Audiologist

70, 709

Behavioral health multi-Specialty Group

66

Behavioral health services organization

03

Birthing centers

73

Certified registered nurse anesthetist (CRNA)

74, 749

Chiropractor

85, 859

Community mental health centers

30

Comprehensive outpatient rehabilitation facilities

91

Dentist

60, 61

Early Periodic Screening Diagnosis and Treatment Services - screenings

45

Early Periodic Screening Diagnosis and Treatment Services - special services

45

Emergency transportation

55

Family planning services

32

Federally Qualified Health Center (FQHC)/non-FQHC

31

Hearing aid dealer

50, 509

Home health services

34

Hospice services

44

Hospitals

01

Independent laboratory and radiological services

37

Licensed behavioral analyst

63, 639

Licensed clinical alcohol and drug counselor

67, 679

Licensed clinical social worker

82, 829

Licensed marriage and family therapist

83, 839

Licensed professional art therapist

62, 629

Licensed professional clinical counselor

81, 819

Licensed psychological practitioner

84, 849

Licensed psychologist

89, 899

Multi therapy agency

76

Non-emergency transportation

56

Nursing facility

12

Occupational therapist

88, 889

Optician

52, 529

Optometrist

77, 779

Physical therapist

87, 879

Physician assistant

95, 859

Physician services

64, 65 

Podiatry services

80, 809

Primary care

31

Private duty nursing (PDN)

18

Psychiatric distinct part unit (DPU)

92

Psychiatric hospital

02

Psychiatric residential treatment facility I

04

Psychiatric residential treatment facility II

05

Radiological services and other lab and X-ray

86

Rehabilitative distinct part unit (DPU)

93

Renal dialysis service

39

Residential crisis stabilization unit

26 

Rural health services

35

Specialized children's services clinic or child advocacy centers

13

Speech-language pathologist 

79, 799

Targeted case management and rehab services provided through title V services

23