Independence Center
NPI 1174668289 · Community/Behavioral Health Agency · Saint Louis, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Independence Center is a Community/Behavioral Health Agency organization in Saint Louis, MO (NPI 1174668289).
Provider details
- NPI number
- 1174668289
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Patricia Holmes, Executive Director(314) 880-5415
Specialties & taxonomies
Agencies
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Independence Center
- Doing business as
- Independence Center Health Group
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2026-03-18
- Certified
- 2026-03-18
Frequently asked questions
- What is Independence Center's NPI number?
- Independence Center's National Provider Identifier (NPI) is 1174668289, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Independence Center?
- Independence Center is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Independence Center located?
- Independence Center's practice location on file with NPPES is 4245 Forest Park Ave, Saint Louis, MO 63108-2810.
- What is Independence Center's phone number?
- The practice phone number listed in the NPPES registry for Independence Center is (314) 286-4545.
- Does Independence Center accept Medicare?
- Independence Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Independence Center?
- The authorized official listed on Independence Center's NPPES record is Patricia Holmes, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Independence Center's NPI active?
- Yes — Independence Center's NPI (1174668289) is active in the NPPES registry as of the last update on 2026-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.