Diversified Health and Wellness

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

DIVERSIFIED HEALTH AND WELLNESS

Practice address

11042 Manchester Rd
Kirkwood, MO 63122-1244

Phone

(844) 462-3492

Fax

(314) 596-4559

NPI assigned

Jan 12, 2019

Organization subpart

No

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

Authorized official

Name

Marsha Yost BradfordNPI 1154508315

Title

Owner

Phone

(314) 698-4266

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marsha Yost Bradford, M.A.

  • Professional Counselor
  • Kirkwood, MO
  • NPI 1154508315
  NPD Authorized official

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

{
    "created_epoch": "1547251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1962976084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11042 MANCHESTER RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631221244",
            "telephone_number": "844-462-3492",
            "fax_number": "314-596-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11042 MANCHESTER RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631221244",
            "telephone_number": "844-462-3492",
            "fax_number": "314-596-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-12",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "YOST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-698-4266"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Jane Depker, BSW
• Madison Derousse, PLPC
• Pathik Jatin Desai, M.D.
• Diagnostic Health Corporation
• Robb Dillender
• Josh Dix, PLPC
• Dathu Thi Doan, DDS
• Glennon Charles Doherty, M.ED., LPC
• Crystal M Dokes, BA
• James H Donnell, MD

• Public Health or Welfare Agency in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Public Health or Welfare Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.