OPTIMAL HEALTH MANAGEMENT NPI 1326597519

NPI Information

  • NPI: 1326597519
  • Provider Name: OPTIMAL HEALTH MANAGEMENT
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 753 SE MAIN ST
    #204, 205, 212
    ROSEBURG, OR
    ZIP 97470
  • Phone: (541) 670-2264

Map and Directions

Get Directions

NPI Details

OPTIMAL HEALTH MANAGEMENT is a mental health counselor in Roseburg, OR. OPTIMAL HEALTH MANAGEMENT NPI is 1326597519. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

753 SE MAIN ST
#204, 205, 212
ROSEBURG, OR
ZIP 97470-938
Phone: (541) 670-2264
Fax: (866) 298-7465

The provider's authorized official is Jessica Brake .
The authorized official title is Co-owner and has the following contact phone number (541) 670-2264.

The enumeration date for this NPI number is 9/28/2016 and was last updated on 9/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106S00000XBehavior TechnicianNo
2101YM0800XCounselorMental HealthC3280OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.