Active NPI
Xander Faison, CMII,LPC
- Clinical Child & Adolescent Psychologist
- Oklahoma City, OK
National Provider Identifier
1255959508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 7917 N May Ave
Oklahoma City, OK 73120-4540 - Phone
- (405) 938-1194
- NPI assigned
- Jul 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC6684 | MD | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
7917 N May Ave
Oklahoma City, OK 73120-4540
Mailing address
4512 Sunnyview Dr Apt 178
Oklahoma City, OK 73135-3163
Phone (443) 991-1582
Other names 1
- Xander Daniel Faison
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC6684 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breaking Barriers Together | Multi-Specialty | Past | Accepting new patients |
| Bridge of Light | Multi-Specialty | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735603200000",
"number": "1255959508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4512 SUNNYVIEW DR APT 178",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731353163",
"telephone_number": "443-991-1582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7917 N MAY AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731204540",
"telephone_number": "405-938-1194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAISON",
"first_name": "XANDER",
"credential": "CMII,LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-13",
"last_updated": "2024-12-31",
"certification_date": "2024-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC6684",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "XANDER",
"last_name": "FAISON",
"middle_name": "DANIEL",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.