INDEPENDENCE CENTER
NPI 1174668289
Community/Behavioral Health in Saint Louis, MO

Q: What is Independence Center's NPI number?

The NPI number for Independence Center is 1174668289. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is doing business as Independence Center Health Group.

Q: What is Independence Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since February 20, 2007

4245 FOREST PARK AVE, SAINT LOUIS, MO 63108(314) 286-4545(314) 286-4542 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Independence Center NPPES

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

INDEPENDENCE CENTER (NPI 1174668289), doing business as Independence Center Health Group, is a healthcare organization registered as a community/behavioral health in Saint Louis, Missouri and active in the NPI registry since February 2007. The organization lists Patricia Holmes, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1174668289

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameINDEPENDENCE CENTER

Location Address4245 FOREST PARK AVESaint Louis, MO 63108-2810

Mailing Address4245 Forest Park AveSaint Louis, MO 63108-2810 · (314) 880-5401 · Fax (314) 880-5468

Phone(314) 286-4545

Fax(314) 286-4542

Organization SubpartNo

Authorized OfficialPatricia HolmesExecutive Director · (314) 880-5415

Enumeration DateFebruary 20, 2007

Last NPPES UpdateMarch 18, 2026

NPPES CertifiedMarch 18, 2026

✔ NPI 1174668289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedOccupational TherapistTaxonomy 225X00000X

4245 FOREST PARK AVE, Saint Louis, MO 63108

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Other Names 2

Doing Business AsIndependence Center Health Group

Former Legal Business NameIndependence Center

Other Identifiers 2

Medicaid503350506MO

Medicaid560003943MO

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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.

INDEPENDENCE CENTER

Community/Behavioral Health