FSL Pathways

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

BH3294 Issued in AZ

Legal business name

FSL PATHWAYS

Practice address

13629 N 21St Dr
Phoenix, AZ 85029-1502

Phone

(602) 285-0505

Fax

(602) 285-1838

NPI assigned

Jun 2, 2009

Organization subpart

No

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

Authorized official

Name

Charnise Moore, DRPH, MPH, CHC, CHRC

Title

Chief Program Officer

Phone

(602) 285-1800

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• AGL - Canyon Other name

Tax ID family

Allthrive365 BHS25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

• Desire Rusingizwa

  • Assisted Living Facility (Mental Illness)
  • Litchfield Park, AZ
  • NPI 1326317413
  NPD tax ID
• FSL Pathways

  • Mental Illness Community Based Residential Treatment Facility
  • Glendale, AZ
  • NPI 1063578730
  NPD tax ID
• FSL Pathways

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1083967376
  NPD tax ID
• FSL Pathways

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1184780942
  NPD tax ID
• FSL Pathways

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1255604864
  NPD tax ID
• FSL Pathways

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1346306180
  NPD tax ID
• FSL Pathways

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1356407035
  NPD tax ID
• FSL Pathways

  • Mental Illness Community Based Residential Treatment Facility
  • Peoria, AZ
  • NPI 1366508186
  NPD tax ID
• FSL Pathways

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1427114024
  NPD tax ID
• FSL Pathways

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1467518985
  NPD tax ID
• FSL Pathways

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1487710133
  NPD tax ID
• FSL Pathways

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1538225289
  NPD tax ID

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1508092776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145734",
            "telephone_number": "602-285-0505",
            "fax_number": "602-285-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13629 N 21ST DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291502",
            "telephone_number": "602-285-0505",
            "fax_number": "602-285-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FSL PATHWAYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHARNISE",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "602-285-1800",
        "authorized_official_credential": "DRPH, MPH, CHC, CHRC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH3294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS ID #",
            "identifier": "433075",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH",
            "identifier": "BH3294",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGL - Canyon",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• FSL Pathways
• FSL Pathways
• FSL Pathways
• FSL Pathways
• FSL Pathways
• FSL Pathways
• FSL Pathways
• FSL Pathways
• FSL Pathways
• FSL Pathways

• All providers in Phoenix, AZ
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.