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INDEPENDENCE CENTER
NPI 1558494286
Community/Behavioral Health in Saint Louis, MO

Active since March 13, 2007
4245 FOREST PARK AVE, SAINT LOUIS, MO 63108(314) 880-5415 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Independence Center NPPES

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

INDEPENDENCE CENTER (NPI 1558494286) is a healthcare organization registered as a community/behavioral health in Saint Louis, Missouri and active in the NPI registry since March 2007. The organization lists Patricia Holmes, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1558494286
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameINDEPENDENCE CENTER
Location Address4245 FOREST PARK AVESaint Louis, MO 63108-2810
Mailing Address8675 Olive BlvdSaint Louis, MO 63132-2503 · (314) 373-5187 · Fax (314) 367-5626
Phone(314) 880-5415
Organization SubpartNo
Authorized OfficialPatricia HolmesExecutive Director · (314) 880-5415
Enumeration DateMarch 13, 2007
Last NPPES UpdateJune 27, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1558494286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4245 FOREST PARK AVE, Saint Louis, MO 63108
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Other Identifiers 1

Medicaid876173501MO

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.

INDEPENDENCE CENTER
Community/Behavioral Health
4245 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 286-4545
PATRICK CHARLIER
Counselor (Professional)
4245 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 286-4545
INDEPENDENCE CENTER
Clinic/Center (Adult Mental Health)
4245 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 880-5415
JEFFREY THOMAS BRANDT LCSW
Social Worker (Clinical)
4245 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 286-4545

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 1558494286. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Independence Center located?

Independence Center is located at 4245 Forest Park Ave, Saint Louis, MO 63108. The listed phone number is (314) 880-5415.

What is Independence Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Independence Center was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.