Individual provider Active NPI

Hei Man Fan

  • Mental Health Counselor
  • Encino, CA
National Provider Identifier
1144676065
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
106894 Issued in CA
Practice address
17777 Ventura Blvd Ste 103
Encino, CA 91316-3738
Phone
(213) 908-1234
NPI assigned
May 10, 2016
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 106894 CA Primary

Addresses

Primary practice location

17777 Ventura Blvd Ste 103
Encino, CA 91316-3738

Mailing address

17777 Ventura Blvd Ste 103
Encino, CA 91316-3738
Phone (213) 908-1234

Other practice location 1

4325 W Sunset Blvd Ste 206
Los Angeles, CA 90029-2180
Phone (800) 726-3890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106894CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Change Within Reach Inc PastSince Sep 11, 2015 Accepting new patients
Silver Lake Psychology Inc. PastSince Nov 14, 2024 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1144676065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17777 VENTURA BLVD STE 103",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163738",
            "telephone_number": "213-908-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17777 VENTURA BLVD STE 103",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163738",
            "telephone_number": "213-908-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4325 W Sunset Blvd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900292180",
            "country_code": "US",
            "telephone_number": "800-726-3890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAN",
        "first_name": "HEI MAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "106894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.