NPI age
19 years
Enumerated 2006-09-25
● Active Type 2 · Organization
Pro Active Advantage, Llc
Pro Active Advantage, Llc is 1 of 1998 counselor organizations in Idaho.
Primary specialty
Counselor
Plus 1 secondary
Practice locations
4
3 secondary on file
Status
Active
No deactivations on record
Authorized official
Colwell
Office Manager
Last NPPES update
2023-08-22
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
4
3 secondary on file
Subspecialties
1
In the 21% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
562 Shoup Ave W
Twin Falls, ID 833015029
Mailing address
562 Shoup Ave W
Twin Falls, ID 833015029
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
2223 Overland Ave
Burley, ID 833182929
Location 3
264 Main Ave S
Twin Falls, ID 833016232
Location 4
215 University Ave E
Gooding, ID 833306155
Authorized official
Lisa Colwell
Office Manager
📞 2087340407
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Nicole Bartlett, DNP, AGACNP-BC, PNP Nurse Practitioner NPI 1699055491
- Jessica Cornell, MS Counselor NPI 1922994029
- Stephanie Latimer, RN Registered Nurse NPI 1972741882
- Patricia Lincoln, CST Specialist NPI 1922168723
- Dawn Nutting, CADC, CRCS Counselor NPI 1225875198
- Charlene Surbaugh, R.N., F.A. Registered Nurse NPI 1275685356
Specialties
-
Counselor PrimaryDefinition to come...
-
CounselorA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807373500 |
Other names on file (3)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Pro Active Behavioral Health
-
Proactive Behavioral Health
-
Pro Active Behavioral Health
Practice context
Multi-provider organization. 6 individual providers on file at this primary address. Plus 3 secondary practice locations.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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