● Active Type 2 · Organization
Pro Active Advantage, Llc
Counselor·Burley, ID· NPI 1073634713
·
Enumerated 2007 · 19 years on NPI
Pro Active Advantage, Llc is 1 of 1998 counselor organizations in Idaho.
NPI age
19 years
Enumerated 2007-04-02
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Knight
Ceo
Last NPPES update
2021-09-15
Source: monthly bulk 2026-05
How this organization compares
Across 1998 active counselor providers in Idaho.
NPI age
19 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1369 E 16th St Ste 2
Burley, ID 833182008
📞 2088783423fax 2088783424
Mailing address
215 University Dr
Gooding, ID 833306155
📞 2089345880fax 2089345876
Authorized official
Frank J. Knight
Ceo
📞 2089345880
Specialties
-
Counselor
Primary
Definition to come...
taxonomy 101YM0800X
Identifiers
| Type | Value | Notes |
| 05 (ID) |
8073811 |
|
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Pro Active Behavioral Health
Type code 3
recorded 2021-09-13
-
Pro Active Behavioral Health
Type code 3
recorded 2015-02-16
Practice context
Single-site organization. Only one practice location on file.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.