PRO ACTIVE BEHAVIORAL HEALTH
NPI 1225139298
Counselor - Mental Health in Twin Falls, ID

Q: What is Pro Active Advantage, LLC's NPI number?

The NPI number for Pro Active Advantage, LLC is 1225139298. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Pro Active Behavioral Health and Proactive Behavioral Health.

Q: What is Pro Active Advantage, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since September 25, 2006

562 SHOUP AVE W, TWIN FALLS, ID 83301(208) 734-0407(208) 734-3534 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 22, 2023, Jul 21, 2022, Sep 15, 2021 and 2 more (5 updates tracked since 2019).

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About Pro Active Behavioral Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRO ACTIVE BEHAVIORAL HEALTH (NPI 1225139298) is a healthcare organization registered as a mental health in Twin Falls, Idaho and active in the NPI registry since September 2006. The organization maintains 3 additional practice locations and lists Lisa Colwell, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1225139298

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NamePRO ACTIVE ADVANTAGE, LLC

Location Address562 SHOUP AVE WTwin Falls, ID 83301-5029

Mailing Address562 Shoup Ave WTwin Falls, ID 83301-5029 · (208) 734-0407 · Fax (208) 734-3534

Phone(208) 734-0407

Fax(208) 734-3534

Organization SubpartNo

Authorized OfficialLisa ColwellOffice Manager · (208) 734-0407

Enumeration DateSeptember 25, 2006

Last NPPES UpdateAugust 22, 20235 updates tracked since enumeration

NPPES CertifiedAugust 22, 2023

✔ NPI 1225139298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselorTaxonomy 101Y00000X

562 SHOUP AVE W, Twin Falls, ID 83301

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Other Names 2

Doing Business AsPro Active Behavioral Health

Doing Business AsProactive Behavioral Health

Secondary Practice Locations 3

Location 1264 Main Ave STwin Falls, ID 83301-6232 · Phone (208) 772-4935 · Fax (208) 734-3534

Location 2215 University Ave EGooding, ID 83330-6155 · Phone (208) 934-5880

Location 32223 Overland AveBurley, ID 83318-2929 · Phone (208) 878-3423

Other Identifiers 1

Medicaid807373500ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TWIN FALLS ORTHOPEDICS LLC

Nurse Practitioner