NPI age
19 years
Enumerated 2007-03-30
● Active Type 2 · Organization
Pro Active Advantage, Llc
Pro Active Advantage, Llc is 1 of 545 counselor organizations in Idaho.
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 545 active counselor providers in Idaho.
NPI age
19 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
215 University Dr
Gooding, ID 833306155
Mailing address
215 University Dr
Gooding, ID 833306155
Authorized official
Frank J. Knight
Ceo
📞 2089345880
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Stephanie Bowles, M.ED,CRC,LPC,NCC Counselor NPI 1093027377
- Joshua Cooke, M.S. LPC NCC QSUDP Counselor NPI 1316344625
- Denise Jensen, LPC Counselor NPI 1346503877
- Brandon Knight, LMSW Social Worker NPI 1649525049
Specialties
-
Counselor PrimaryA 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) | 8063821 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Pro Active Behavioral Health
-
Pro Active Behavioral Health
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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