PRO ACTIVE BEHAVIORAL HEALTH
NPI 1366562316
Counselor in Gooding, ID

NPI Status: Active since March 30, 2007

Contact Information

215 UNIVERSITY DR
GOODING, ID
ZIP 83330
Phone: (208) 934-5880
Fax: (208) 934-5876

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Counselor

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 Gooding, Idaho operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1366562316 assigned on March 2007. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Pro Active Behavioral Health operates as a multi-specialty business group with one or more individual providers 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: 1366562316
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: 215 UNIVERSITY DR GOODING, ID 83330
Location Phone: (208) 934-5880
Location Fax: (208) 934-5876
Mailing Address: 215 UNIVERSITY DR GOODING, ID 83330
Mailing Phone: (208) 934-5880
Mailing Fax: (208) 934-5876
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-30-2007
Last Update Date: 09-15-2021
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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
Taxonomy Code: 101Y00000X
Type: Behavioral Health & Social Service Providers
Taxonomy Description: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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:

Medicare

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

Medicaid

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
8063821	MEDICAID (05)	ID

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	3	6	6	5	6	2	3	1	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	12	6	10	6	4	3	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 0 + 6 + 4 + 3 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 6									6

The NPI number 1366562316 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.