Pro Active Advantage, LLC
Pro Active Advantage, LLC is a healthcare organization registered as Cognitive & Behavioral Psychologist in Gooding, ID, holding Type 2 (organization) NPI 1730200460 since 2007. The authorized official on file is Frank Knight, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1730200460 |
|---|---|
| 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 | 2007-04-02 |
| Last updated in NPPES | 2021-09-15 |
Authorized official
| Name | Frank Knight |
|---|---|
| Title | Ceo |
| Phone | 2089345880 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103TB0200X | Cognitive & Behavioral Psychologist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8067725 | Medicaid | ID | — |
Copy-ready billing details
Provider: Pro Active Advantage, LLC NPI: 1730200460 Taxonomy: 103TB0200X (Cognitive & Behavioral Psychologist) 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 |
| 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 |
| 1407253669 | Pro Active Advantage, LLC | Organization | Community/Behavioral Health Agency | Gooding, ID |
Verify this record
Cross-check NPI 1730200460 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
What is a Type 2 NPI?
What type of organization is Pro Active Advantage, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2021-09-15.