MR. JOHN LEE FANT CADC I
NPI 1962548230
Case Manager/Care Coordinator in Salem, OR

Active since January 30, 2007
1095 25TH ST SE, SALEM, OR 97301(503) 399-7400 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Case Manager/Care Coordinator

About JOHN FANT

This page provides the complete NPI Profile along with additional information for John Fant, a provider established in Salem, Oregon with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1962548230 assigned on January 2007. The practitioner's primary taxonomy code is 171M00000X with license number 06-07055U (OR). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1962548230 Verify this NPI
Provider Name
MR. JOHN LEE FANT CADC I
Gender
Male
Entity Type
Individual
Location Address
1095 25TH ST SE SALEM, OR 97301
Location Phone
(503) 399-7400
Mailing Address
1240 CHEMEKETA ST NE SALEM, OR 97301
Mailing Phone
(503) 399-7400
Is Sole Proprietor?
Yes
Enumeration Date
01-30-2007
Last Update Date
09-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
License No.
06-07055U
License State
OR
Taxonomy Description
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

06-07-55U (OR)

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Clinic/Center (Multi-Specialty)
1095 25TH ST SE
SALEM, OR 97301
Counselor (Addiction (Substance Use Disorder))
1095 25TH ST SE
SALEM, OR 97301
Counselor (Addiction (Substance Use Disorder))
1095 25TH ST SE
SALEM, OR 97301
Case Manager/Care Coordinator
1095 25TH ST SE
SALEM, OR 97301
Counselor (Professional)
1095 25TH ST SE
SALEM, OR 97301
Case Manager/Care Coordinator
1095 25TH ST SE
SALEM, OR 97301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962548230, enumerated as an "individual" on January 30, 2007.

The provider is located at 1095 25TH ST SE SALEM, OR 97301 and the phone number is (503) 399-7400.

Case Manager/Care Coordinator with taxonomy code 171M00000X.