NPI age
11 years
Enumerated 2014-12-03
● Active Type 2 · Organization
Pro Active Advantage, Llc
Pro Active Advantage, Llc is 1 of 806 community/behavioral health organizations in Idaho.
Primary specialty
Community/Behavioral Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Marecki
Human Resources
Last NPPES update
2021-09-15
Source: monthly bulk 2026-05
How this organization compares
Across 806 active community/behavioral health providers in Idaho.
NPI age
11 years
≈ at median (10 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-12Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
215 University Dr
Gooding, ID 833306155
Mailing address
562 Shoup Ave W
Twin Falls, ID 833015029
Authorized official
Pat Marecki, B.S.
Human Resources
📞 2087724935
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
-
Community/Behavioral Health PrimaryA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
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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