OrganizationActive
Independence Center
NPI 1760839260 · Adult Mental Health Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1760839260
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Patricia Holmes, Executive Director(314) 880-5415
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
4245 Forest Park Ave
Saint Louis, MO 63108-2810
Phone: (314) 880-5415
Fax: (314) 880-5468
Street-level locationGet directions
Mailing address
4245 Forest Park Ave
Saint Louis, MO 63108-2810
Registry dates
- Enumerated
- 2016-05-16
- Last updated
- 2022-06-27
- Certified
- 2022-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.