Optimal Health & Balance LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

OPTIMAL HEALTH & BALANCE LLC

Practice address

6123 Green Bay Rd Ste 120
Kenosha, WI 53142-2927

Phone

(262) 358-2954

NPI assigned

Apr 6, 2022

Last updated

Jun 3, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Imelda N Forsberg, PMHNP-CNPI 1306027891

Title

Owner/Provider

Phone

(262) 358-2954

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Imelda N Forsberg, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Kenosha, WI
  • NPI 1306027891
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1255072708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6123 GREEN BAY RD STE 120",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422927",
            "telephone_number": "262-358-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6123 GREEN BAY RD STE 120",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422927",
            "telephone_number": "262-358-2954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S Washington Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600684293",
            "country_code": "US",
            "telephone_number": "262-358-2954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMAL HEALTH & BALANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "FORSBERG",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "262-358-2954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PMHNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.optimalhealth&balancellc.com",
            "affiliation": "N",
            "endpointDescription": "Mental Health",
            "address_1": "6925 184th Avenue",
            "city": "Bristol",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531049747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Olson, SLP - CCC, MA
• Joseph J Olszewski, MS LAT CSCS
• Kathryn A Omelina, NP
• Sosamma M Oommen
• Amy Opansky, OTRL CKTP
• Brandon Orawiec
• Nina Orlando
• Anna Marie Benvenuto Orlowski
• Lynda Orsburn
• Ortho 360 LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.