ST. CHARLES PSYCHIATRIC ASSOCIATES, INC.
NPI 1164631495
Specialist in Weldon Spring, MO
About St. Charles Psychiatric Associates, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. CHARLES PSYCHIATRIC ASSOCIATES, INC. (NPI 1164631495) is a healthcare organization registered as a specialist in Weldon Spring, Missouri and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 19, 2028, maintains a secondary practice location in Brentwood, and lists Jasmine M Tidwell, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St. Charles Psychiatric Associates, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to St. Charles Psychiatric Associates, Inc., which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (12)
Weldon Spring, MO 63304
Weldon Spring, MO 63304
Weldon Spring, MO 63304
Weldon Spring, MO 63304
Saint Louis, MO 63110
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 26D2047264
St Charles Psychiatric Associates · Saint Charles, MOFrequently 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 St. Charles Psychiatric Associates, Inc.'s NPI number?
The NPI number for St. Charles Psychiatric Associates, Inc. is 1164631495. It was assigned to this organization in the NPPES registry on May 22, 2007.
Where is St. Charles Psychiatric Associates, Inc. located?
St. Charles Psychiatric Associates, Inc. is located at 4801 Weldon Spring Pkwy Ste 300, Weldon Spring, MO 63304. The listed phone number is (636) 949-5760.
What is St. Charles Psychiatric Associates, Inc.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is St. Charles Psychiatric Associates, Inc. enrolled in Medicare?
Yes. St. Charles Psychiatric Associates, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St. Charles Psychiatric Associates, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to St. Charles Psychiatric Associates, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Psychiatry (2) and Certified Clinical Nurse Specialist (CNS) (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does St. Charles Psychiatric Associates, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2047264) is associated with this NPI, valid through September 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does St. Charles Psychiatric Associates, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield list St. Charles Psychiatric Associates, Inc. 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 St. Charles Psychiatric Associates, Inc. was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# St. Charles Psychiatric Associates, Inc. · NPI 1164631495
Specialist organization in Weldon Spring, Missouri. Organization record, active in the CMS NPPES registry since May 22, 2007.
## Identity
- **NPI:** 1164631495 (Entity type: Organization)
- **Enumerated:** May 22, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Jasmine Tidwell, BILLING MANAGER
## Practice location
- **Address:** 4801 WELDON SPRING PKWY STE 300, Weldon Spring, MO 63304-9101
- **Phone:** (636) 949-5760 · **Fax:** (866) 440-9231
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Psychiatry (2), Certified Clinical Nurse Specialist (CNS) (1); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1164631495) · Data from the CMS NPPES public registry.