Pro Active Advantage, LLC

Pro Active Advantage, LLC is a healthcare organization registered as Rehabilitation Psychologist in Burley, ID, holding Type 2 (organization) NPI 1124148176 since 2007. The authorized official on file is Frank Knight, Ceo.

✓ Active NPI ✓ Valid NPI checksum

NPI	1124148176
Entity type	Organization (Type 2)
Legal business name	Pro Active Advantage, LLC
Other name	<Unavail>
Practice address	1369 E 16TH ST STE 2, Burley, ID, 83318
Phone	2088783423
Fax	2088783424
Enumeration date	2007-03-30
Last updated in NPPES	2021-09-15

Authorized official

Name	Frank Knight
Title	Ceo
Phone	2089345880

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
103TR0400X	Rehabilitation Psychologist	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
8073698	Medicaid	ID	—

Copy-ready billing details

Provider: Pro Active Advantage, LLC
NPI: 1124148176
Taxonomy: 103TR0400X (Rehabilitation Psychologist)
Address: 1369 E 16TH ST STE 2, Burley, ID, 83318

Providers at this address

NPI	Name	Type	Specialty	Location
1073634713	Pro Active Advantage, LLC	Organization	Mental Health Counselor	Burley, ID

Verify this record

Cross-check NPI 1124148176 against the authoritative CMS record: view Pro Active Advantage, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Pro Active Advantage, LLC located?

The practice location on file with NPPES is in Burley, ID.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-09-15. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2021-09-15.