OPTIMUM BALANCE
NPI 1245767888
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fenton, MI
About Optimum Balance NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTIMUM BALANCE (NPI 1245767888) is a healthcare organization registered as a mental health (including community mental health center) in Fenton, Michigan and active in the NPI registry since May 2017. The organization lists Karl Stanley Gill, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Optimum Balance is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Optimum Balance, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (10)
Grand Blanc, MI 48439
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Optimum Balance's NPI number?
The NPI number for Optimum Balance is 1245767888. It was assigned to this organization in the NPPES registry on May 14, 2017.
Where is Optimum Balance located?
Optimum Balance is located at 1537 N. Leroy Street Suite D, Fenton, MI 48430. The listed phone number is (810) 771-8969.
What is Optimum Balance's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Optimum Balance enrolled in Medicare?
Yes. Optimum Balance is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Optimum Balance?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Optimum Balance. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (5), Clinical Social Worker (3) and Clinical Psychologist (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Optimum Balance accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Optimum Balance as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Optimum Balance was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Optimum Balance · NPI 1245767888
Mental Health (Including Community Mental Health Center) organization in Fenton, Michigan. Organization record, active in the CMS NPPES registry since May 14, 2017.
## Identity
- **NPI:** 1245767888 (Entity type: Organization)
- **Enumerated:** May 14, 2017
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Karl Gill, OWNER
## Practice location
- **Address:** 1537 N. LEROY STREET, SUITE D, Fenton, MI 48430
- **Phone:** (810) 771-8969
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (5), Clinical Social Worker (3), Clinical Psychologist (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1245767888) · Data from the CMS NPPES public registry.