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PROVIDENT
NPI 1316005473
Preferred Provider Organization in Arnold, MO

Active since December 04, 2006
3675 W OUTER RD, 203, ARNOLD, MO 63010(314) 898-0102(636) 296-3249 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Provident NPPES

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

PROVIDENT (NPI 1316005473) is a healthcare organization registered as a preferred provider organization in Arnold, Missouri and active in the NPI registry since December 2006. The organization lists Kristin Bulin, Director Of Counseling Division, as its authorized official.

NPPES Registry Identity

NPI1316005473
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NamePROVIDENT
Location Address3675 W OUTER RD, 203Arnold, MO 63010-5232
Mailing Address3675 W Outer Rd, 203Arnold, MO 63010-5232 · (314) 898-0102 · Fax (636) 296-3249
Phone(314) 898-0102
Fax(636) 296-3249
Organization SubpartNo
Authorized OfficialKristin BulinDirector Of Counseling Division · (314) 371-6500
Enumeration DateDecember 4, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1316005473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in MO · SW002589
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Also ListedHospice Care, Community BasedTaxonomy 251G00000X · License 002589 (MO)
3675 W OUTER RD, Arnold, MO 63010
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Other Identifiers 1

Medicaid496768326MO

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANGELA CAROL COOK M.S.W., L.C.S.W.
Social Worker (Clinical)
3675 W OUTER RD, SUITE 203
ARNOLD, MO 63010
Jefferson County (314) 898-0102
PROVIDENT INC.
Social Worker (Clinical)
3675 W OUTER RD
ARNOLD, MO 63010
Jefferson County (314) 898-0102
MR. KENNETH A BARRETT MSW
Social Worker (Clinical)
3675 W OUTER RD, SUITE 203
ARNOLD, MO 63010
Jefferson County (314) 898-0102
MITCHELL DAVID URE LMSW
Social Worker (Clinical)
3675 W OUTER RD, STE 203
ARNOLD, MO 63010
Jefferson County (314) 371-6500

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 Provident's NPI number?

The NPI number for Provident is 1316005473. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Provident located?

Provident is located at 3675 W Outer Rd 203, Arnold, MO 63010. The listed phone number is (314) 898-0102.

What is Provident's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Provident was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.