PRO ACTIVE BEHAVIORAL HEALTH
NPI 1073634713
Counselor - Mental Health in Burley, ID

NPI Status: Active since April 02, 2007

Contact Information

1369 E 16TH ST STE 2
BURLEY, ID
ZIP 83318
Phone: (208) 878-3423
Fax: (208) 878-3424

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  • Organization
  • Counselor
  • Mental Health

About PRO ACTIVE BEHAVIORAL HEALTH

This page provides the complete NPI Profile along with additional information for Pro Active Behavioral Health, a provider established in Burley, Idaho operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1073634713 assigned on April 2007. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Pro Active Behavioral Health operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Pro Active Behavioral Health. The authorized official of this NPI record is Frank J. Knight (Ceo)

NPI
1073634713
Provider Legal Name
PRO ACTIVE ADVANTAGE, LLC
Other Organization Name
PRO ACTIVE BEHAVIORAL HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1369 E 16TH ST STE 2 BURLEY, ID 83318
Location Phone
(208) 878-3423
Location Fax
(208) 878-3424
Mailing Address
215 UNIVERSITY DR GOODING, ID 83330
Mailing Phone
(208) 934-5880
Mailing Fax
(208) 878-3424
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-02-2007
Last Update Date
09-15-2021
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A mental health counselor like Pro Active Behavioral Health provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FRANK J. KNIGHT

Authorized Official Title
CEO
Authorized Official Phone
(208) 934-5880

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8073811MEDICAID (05)ID 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073634713, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 2 + 3 + 8 + 7 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1073634713.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychologist (Rehabilitation)
1369 E 16TH ST STE 2
BURLEY, ID 83318

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073634713, enumerated as an "organization" on April 02, 2007.

The provider is located at 1369 E 16TH ST STE 2 BURLEY, ID 83318 and the phone number is (208) 878-3423.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.