Active NPI
Child and Family Resource
- Rehabilitation Clinic/Center
- Rexburg, ID
National Provider Identifier
1124237367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- CHILD AND FAMILY RESOURCE
- Practice address
- 316 N 3Rd E
Rexburg, ID 83440-1661 - Phone
- (208) 356-4911
- Fax
- (208) 356-5044
- NPI assigned
- May 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Johnston
- Title
- Manager
- Phone
- (208) 356-4911
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
316 N 3Rd E
Rexburg, ID 83440-1661
Mailing address
316 N 3Rd E
Rexburg, ID 83440-1661
Phone (208) 356-4911
National Provider Directory
National Provider DirectoryLocations
316 N 3rd E
Rexburg, ID 83440
Phone (208) 356-4911
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Rexburg, ID
- NPI 1578995767
-
- Clinical Social Worker
- Rexburg, ID
- NPI 1063070035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1124237367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 N 3RD E",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401661",
"telephone_number": "208-356-4911",
"fax_number": "208-356-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 N 3RD E",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401661",
"telephone_number": "208-356-4911",
"fax_number": "208-356-5044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD AND FAMILY RESOURCE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "JOHNSTON",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "208-356-4911"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rexburg, ID
Sources for this page
- 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.