John Lee Fant, CADC I

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

06-07055U Issued in OR

Practice address

1095 25TH St SE
Salem, OR 97301-5049

Phone

(503) 399-7400

NPI assigned

Jan 30, 2007

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cascadia Behavioral Healthcare Inc

  • Multi-Specialty Clinic/Center
  • Salem, OR
  • NPI 1538238928
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1962548230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 CHEMEKETA ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014145",
            "telephone_number": "503-399-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 25TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015049",
            "telephone_number": "503-399-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANT",
        "first_name": "JOHN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "CADC I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "06-07-55U",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OR",
            "license": "06-07055U",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Focus Eye Care LLC
• Family Medicine LLC
• Family Residential Treatment Home
• Robert S Fan, MD
• Nervin Hafez Fanous, MD
• Antoinette Farah, M.D.
• Anja D Farin, CPM, LDM
• Kelli Farm, NP
• Brian Wayne Farmer, BS PSYCHOLOGY
• Donna Kay Farmer, BS/QMHA

• Case Manager/Care Coordinator in Salem, OR
• Providers in Salem, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.