OPTIMAL HEALTH & BALANCE LLC
NPI 1255072708
Clinic/Center - Mental Health (Including Community Mental Health Center) in Kenosha, WI
About Optimal Health & Balance Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTIMAL HEALTH & BALANCE LLC (NPI 1255072708) is a healthcare organization registered as a mental health (including community mental health center) in Kenosha, Wisconsin and active in the NPI registry since April 2022. The organization maintains a secondary practice location in Park Ridge and lists Imelda N Forsberg, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Optimal Health & Balance Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Optimal Health & Balance LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Optimal Health & Balance LLC's NPI number?
The NPI number for Optimal Health & Balance LLC is 1255072708. It was assigned to this organization in the NPPES registry on April 6, 2022.
Where is Optimal Health & Balance LLC located?
Optimal Health & Balance LLC is located at 6123 Green Bay Rd Ste 120, Kenosha, WI 53142. The listed phone number is (262) 358-2954.
What is Optimal Health & Balance LLC'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 Optimal Health & Balance LLC enrolled in Medicare?
Yes. Optimal Health & Balance LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Optimal Health & Balance LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Optimal Health & Balance LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Optimal Health & Balance LLC was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Optimal Health & Balance Llc · NPI 1255072708
Mental Health (Including Community Mental Health Center) organization in Kenosha, Wisconsin. Organization record, active in the CMS NPPES registry since April 6, 2022.
## Identity
- **NPI:** 1255072708 (Entity type: Organization)
- **Enumerated:** April 6, 2022
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Imelda Forsberg, OWNER/PROVIDER
## Practice location
- **Address:** 6123 GREEN BAY RD STE 120, Kenosha, WI 53142-2927
- **Phone:** (262) 358-2954
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1255072708) · Data from the CMS NPPES public registry.