Pro Active Advantage, LLC
Pro Active Advantage, LLC is a healthcare organization registered as Community/Behavioral Health Agency in Gooding, ID, holding Type 2 (organization) NPI 1407253669 since 2014. The authorized official on file is Pat Marecki, Human Resources.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1407253669 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pro Active Advantage, LLC |
| Other name | <Unavail> |
| Practice address | 215 UNIVERSITY DR, Gooding, ID, 83330 |
| Phone | 2089345880 |
| Fax | 2089345876 |
| Enumeration date | 2014-12-03 |
| Last updated in NPPES | 2021-09-15 |
Authorized official
| Name | Pat Marecki |
|---|---|
| Title | Human Resources |
| Phone | 2087724935 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Primary | LPC-5654 | ID |
Copy-ready billing details
Provider: Pro Active Advantage, LLC NPI: 1407253669 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 215 UNIVERSITY DR, Gooding, ID, 83330
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366562316 | Pro Active Advantage, LLC | Organization | Counselor | Gooding, ID |
| 1730200460 | Pro Active Advantage, LLC | Organization | Cognitive & Behavioral Psychologist | Gooding, ID |
| 1093027377 | Stephanie Bowles | Individual | Counselor | Gooding, ID |
| 1346503877 | Denise Jensen | Individual | Professional Counselor | Gooding, ID |
| 1649525049 | Brandon Knight | Individual | Social Worker | Gooding, ID |
| 1316344625 | Joshua Cooke | Individual | Mental Health Counselor | Gooding, ID |
Verify this record
Cross-check NPI 1407253669 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
Who is the authorized official for Pro Active Advantage, LLC?
What is the NPI number for Pro Active Advantage, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-09-15.