OrganizationActive
Pro Active Advantage, LLC
NPI 1407253669 · Community/Behavioral Health Agency · Gooding, ID
Pro Active Advantage, LLC is a Community/Behavioral Health Agency organization in Gooding, ID (NPI 1407253669).
Provider details
- NPI number
- 1407253669
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Pat Marecki, Human Resources(208) 772-4935
- License
- LPC-5654 (ID)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
215 University Dr
Gooding, ID 83330-6155
Phone: (208) 934-5880
Fax: (208) 934-5876
Street-level locationGet directions
Mailing address
562 Shoup Ave W
Twin Falls, ID 83301-5029
Other names (DBA / former)
- Doing business as
- Pro Active Behavioral Health
- Doing business as
- Pro Active Behavioral Health
Registry dates
- Enumerated
- 2014-12-03
- Last updated
- 2021-09-15
- Certified
- 2021-09-15
Frequently asked questions
- What is Pro Active Advantage, LLC's NPI number?
- Pro Active Advantage, LLC's National Provider Identifier (NPI) is 1407253669, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pro Active Advantage, LLC?
- Pro Active Advantage, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Pro Active Advantage, LLC located?
- Pro Active Advantage, LLC's practice location on file with NPPES is 215 University Dr, Gooding, ID 83330-6155.
- What is Pro Active Advantage, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pro Active Advantage, LLC is (208) 934-5880.
- Who is the authorized official for Pro Active Advantage, LLC?
- The authorized official listed on Pro Active Advantage, LLC's NPPES record is Pat Marecki, Human Resources. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pro Active Advantage, LLC's NPI active?
- Yes — Pro Active Advantage, LLC's NPI (1407253669) is active in the NPPES registry as of the last update on 2021-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.