Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Optimal Vitality

Organization Professional Counselor · NPI 1457131328

Optimal Vitality is a Professional Counselor in Burr Ridge, Illinois. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
8
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Practice location Address checks out

200 S Frontage Rd Ste 324
Burr Ridge, IL 60527-6953
Phone: (630) 360-1173
Fax: (331) 992-2358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Professional Counselor Taxonomy 101YP2500X
Clinical Psychologist Taxonomy 103TC0700X
Prescribing (Medical) Psychologist Taxonomy 103TP0016X
Nutritionist Taxonomy 133N00000X
Neurodevelopmental Disabilities Physician Taxonomy 2084P0005X
Health Service Clinic/Center Taxonomy 261QH0100X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1457131328
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandi Boan — Owner · (630) 649-2819
NPI enumeratedSeptember 29, 2023
Last updated in NPPESSeptember 29, 2023
Certification dateSeptember 29, 2023
Mailing address200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953

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