Organization Active NPI

Engage Wellness Missouri LLC

  • Substance Abuse Rehabilitation Facility
  • Bridgeton, MO
National Provider Identifier
1891670303
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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

Updated by the provider on Aug 6, 2025

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2329235Engage Wellness Missouri LLC12123 Bridgeton Square Drive, Bridgeton, MO 63044Certificate of waiverAug 24, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.