DIVERGENT DIETITIAN
NPI 1083463749
Clinic/Center - Adolescent and Children Mental Health in Perrysburg, OH

Active since May 15, 2024
308 LOUISIANA AVE, PERRYSBURG, OH 43551(567) 801-0792 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, May 15, 2024 (2 updates tracked since 2024).

About Divergent Dietitian NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVERGENT DIETITIAN (NPI 1083463749) is a healthcare organization registered as an adolescent and children mental health in Perrysburg, Ohio and active in the NPI registry since May 2024. The organization lists Bethany Anne Dario, Owner, as its authorized official.

NPPES Registry Identity

NPI1083463749
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameDIVERGENT DIETITIAN
Location Address308 LOUISIANA AVEPerrysburg, OH 43551-1461
Mailing Address308 Louisiana AvePerrysburg, OH 43551-1461 · (419) 410-3541
Organization SubpartNo
Authorized OfficialBethany Anne DarioOwner · (419) 410-3541
Enumeration DateMay 15, 2024
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
NPI 1083463749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
308 LOUISIANA AVE, Perrysburg, OH 43551

Accepted Insurance

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
308 LOUISIANA AVE
PERRYSBURG, OH 43551
Dietitian, Registered
308 LOUISIANA AVE
PERRYSBURG, OH 43551
Dietitian, Registered
308 LOUISIANA AVE
PERRYSBURG, OH 43551
Dietitian, Registered
308 LOUISIANA AVE
PERRYSBURG, OH 43551
Dietitian, Registered
308 LOUISIANA AVE
PERRYSBURG, OH 43551

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divergent Dietitian's NPI number?

The NPI number for Divergent Dietitian is 1083463749. It was assigned to this organization in the NPPES registry on May 15, 2024.

Where is Divergent Dietitian located?

Divergent Dietitian is located at 308 Louisiana Ave, Perrysburg, OH 43551. The listed phone number is (567) 801-0792.

What is Divergent Dietitian's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

What insurance does Divergent Dietitian accept?

Health plans from Anthem Blue Cross and Blue Shield list Divergent Dietitian as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Divergent Dietitian was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.