Xinli Fan, LMFT, LCMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2022011310 Issued in MO

Practice address

1535 NE Rice Rd
Lees Summit, MO 64086-5849

Phone

(816) 966-0900

Fax

(816) 347-3200

NPI assigned

Mar 16, 2018

Last updated

Oct 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cultivating Hope Therapy, LLC

  • Marriage & Family Therapist
  • Raymore, MO
  • NPI 1275352239
  NPD Authorized official
• Rediscover

  • Methadone Clinic
  • Kansas City, MO
  • NPI 1659749414
  NPD
• Rediscover

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lee's Summit, MO
  • NPI 1841235298
  NPD

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1700389608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 E 128TH TER",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640301923",
            "telephone_number": "913-228-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 NE RICE RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865849",
            "telephone_number": "816-966-0900",
            "fax_number": "816-347-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6510 E 128th Ter",
            "address_purpose": "LOCATION",
            "city": "Grandview",
            "state": "MO",
            "postal_code": "640301923",
            "country_code": "US",
            "telephone_number": "913-228-1081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAN",
        "first_name": "XINLI",
        "name_prefix": "Mr.",
        "credential": "LMFT, LCMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-16",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03120",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2022011310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Carter Fairman, PSY.D.
• Matthew Falke, MS, ATC, LAT
• Courtney Fall, LPC
• Family Care at Arbor Walk, LLC
• Family Health Specialist of Lee's Summit, LLC
• Sarah A Fann, PHARM.D.
• Hernan Guillermo Farias, DC
• Robert Cory Faris, MPT
• Jenna Marie Farmer
• Annette Farr, OTR/L

• Marriage & Family Therapist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Marriage & Family Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.