Family Pathways Cooperative, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FAMILY PATHWAYS COOPERATIVE, INC.

Practice address

3607 Pole Line Rd
Pocatello, ID 83201-5531

Phone

(208) 637-1662

Fax

(208) 637-1554

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Sandee Young, LCSW

Title

Administrator

Phone

(208) 782-1322

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1427274182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LOUELLA ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211609",
            "telephone_number": "208-782-1322",
            "fax_number": "208-782-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 POLE LINE RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015531",
            "telephone_number": "208-637-1662",
            "fax_number": "208-637-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PATHWAYS COOPERATIVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SANDEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-782-1322",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807345000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert L Fackrell, DDS
• Jennifer Katherine Fah, PT, DPT
• Connor Fairbanks, DDS
• Robin Pierce Falslev, M.A., CCC-SLP
• Family Focus Mental Health LLC
• Family Practice Group, P.a.
• Family Practice Group, P.a.
• Chandra T Farnham, PT
• Brent M. Faure, MS, ATC
• Caroline E Faure, ED.D.; ATC

• Community/Behavioral Health Agency in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.