Active NPI
Engage Wellness Missouri LLC
- Substance Abuse Rehabilitation Facility
- Bridgeton, MO
National Provider Identifier
1891670303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- ENGAGE WELLNESS MISSOURI LLC
- Practice address
- 12123 Bridgeton Square Dr
Bridgeton, MO 63044-2616 - Phone
- (314) 350-4135
- NPI assigned
- Aug 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan Welch
- Title
- Executive Director
- Phone
- (954) 607-8075
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
12123 Bridgeton Square Dr
Bridgeton, MO 63044-2616
Mailing address
12123 Bridgeton Square Dr
Bridgeton, MO 63044-2616
Phone (314) 350-4135
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2329235 | Engage Wellness Missouri LLC | Certificate of waiver | Aug 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
12123 Bridgeton Square Dr
Bridgeton, MO 63044
Phone (314) 350-4135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754438400000",
"number": "1891670303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12123 BRIDGETON SQUARE DR",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442616",
"telephone_number": "314-350-4135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12123 BRIDGETON SQUARE DR",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442616",
"telephone_number": "314-350-4135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENGAGE WELLNESS MISSOURI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-06",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A",
"authorized_official_last_name": "WELCH",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "954-607-8075"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.