INDEPENDENCE CENTER
NPI 1174668289
Community/Behavioral Health in Saint Louis, MO
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
Specialties & Licenses 3
Other Names 2
Other Identifiers 2
Group Practice 2
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)
Independence Center 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 Independence Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (12)
Saint Louis, MO 63110
Saint Louis, MO 63110
Saint Louis, MO 63110
Saint Louis, MO 63110
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.
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 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.
Where is Independence Center located?
Independence Center is located at 4245 Forest Park Ave, Saint Louis, MO 63108. The listed phone number is (314) 286-4545.
What is Independence Center's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Independence Center enrolled in Medicare?
Yes. Independence Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Independence Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 5 Medicare specialties reassign their Medicare billing to Independence Center. 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 Psychiatry (5), Clinical Social Worker (2) and Mental Health Counselor (2). Of these, 2 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Independence Center accept?
Health plans from Medica list Independence Center 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 Independence Center was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Independence Center · NPI 1174668289
Community/Behavioral Health organization in Saint Louis, Missouri. Organization record, active in the CMS NPPES registry since February 20, 2007.
## Identity
- **NPI:** 1174668289 (Entity type: Organization)
- **Enumerated:** February 20, 2007
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Also known as:** Independence Center Health Group (Doing Business As); Independence Center (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Patricia Holmes, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 4245 FOREST PARK AVE, Saint Louis, MO 63108-2810
- **Phone:** (314) 286-4545 · **Fax:** (314) 286-4542
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (5), Clinical Social Worker (2), Mental Health Counselor (2); 2 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 18, 2026
- **Other identifiers:** Medicaid 503350506 (MO); Medicaid 560003943 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1174668289) · Data from the CMS NPPES public registry.