MEDICARE: FAMILY FOOTSTEPS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1750212692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY FOOTSTEPS, INC.

Provider Business Mailing Address
First Line	:	789 GRANT AVE
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83301-4021
Country	:	US
Telephone Number	:	208-751-1015
Fax Number	:

Provider Business Practice Location Address
First Line	:	789 GRANT AVE
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83301-4021
Country	:	US
Telephone Number	:	208-751-1015
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID DIXON
Credential	:	LCPC
Telephone Number	:	208-490-4072

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1982638359 — DR. TIMOTHY DAE LEE DDS
Practice Location Address:

4021 RHEA RD
WICHITA FALLS, TX
76308-2727

Practice Phone: 214-923-0648
Practice Fax: 940-613-0213

1962725994 — TIMOTHY D. LEE, DDS, PC
Practice Location Address:

4021 RHEA RD
WICHITA FALLS, TX
76308-2727

Practice Phone: 940-613-0210
Practice Fax: 940-613-0213

1740979475 — RACHEL KNIGHT LCSW
Practice Location Address:

718 SHOSHONE ST E
TWIN FALLS, ID
83301-6111

Practice Phone: 208-503-6199
Practice Fax:

1467163378 — MELISSA LARSEN
Practice Location Address:

718 SHOSHONE ST E
TWIN FALLS, ID
83301-6111

Practice Phone: 208-829-9441
Practice Fax:

1811830003 — MALLORY CHAVEZ
Practice Location Address:

1220 7TH AVE E
TWIN FALLS, ID
83301-6914

Practice Phone: 208-680-0258
Practice Fax:

Directions to “FAMILY FOOTSTEPS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.