DR. ALICE G VLIETSTRA PH.D.
NPI 1841324753
Psychologist - Health Service in Saint Louis, MO

Q: What is Alice Vlietstra's NPI number?

The NPI number for Alice Vlietstra is 1841324753. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Q: What is Alice Vlietstra's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Q: When was this NPI record last updated?

The NPPES record for Alice Vlietstra was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 15, 2007PECOS EnrolledAccepts Medicare Assignment

745 CRAIG RD STE 102C, SAINT LOUIS, MO 63141(314) 729-2855(314) 529-3534 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Alice G Vlietstra Ph.d. NPPES

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

DR. ALICE G VLIETSTRA PH.D. (NPI 1841324753) is an individual health service provider in Saint Louis, Missouri, licensed in Missouri (01089) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1973).

NPPES Registry Identity

NPI1841324753

Entity TypeIndividualFemale

Primary Taxonomy103TH0100X

Provider Legal NameDR. ALICE G VLIETSTRACredential: PH.D.

Location Address745 CRAIG RD STE 102CSaint Louis, MO 63141-7122

Mailing Address3042 Andover DrSaint Louis, MO 63121-4606 · (314) 882-5537 · Fax (314) 529-3534

Phone(314) 729-2855

Fax(314) 529-3534

Sole ProprietorNo

Medical School CMSOtherGraduated 1973

Enumeration DateMarch 15, 2007

Last NPPES UpdateOctober 27, 2025

NPPES CertifiedOctober 27, 2025

✔ NPI 1841324753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers

Taxonomy Code103TH0100X

License✔ Licensed in MO · 01089

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 300075 (MO)

745 CRAIG RD STE 102C, Saint Louis, MO 63141

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Other Identifiers 2

Other1601MO · Blue Cross Blue Shield

Other075243MO · Value Options

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alice G Vlietstra Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537328059

PECOS Enrollment IDI20120301000855

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

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

WILLIAM H KUNTZ M.S., LCSW, LIC. PSY

Psychologist (Clinical)

745 CRAIG RD STE 102C
CREVE COEUR, MO 63141

St. Louis County (314) 712-1754

NEW BEGINNINGS COUNSELING, INC

Psychologist (Counseling)

745 CRAIG RD STE 102C
CREVE COEUR, MO 63141

St. Louis County (314) 712-1754

DUSTIN N BAILEY L.P.C.

Counselor (Professional)

745 CRAIG RD STE 102C
CREVE COEUR, MO 63141

St. Louis County (314) 662-4403

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 Alice Vlietstra's NPI number?

The NPI number for Alice Vlietstra is 1841324753. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Alice Vlietstra located?

Alice Vlietstra practices at 745 Craig Rd Ste 102C, Saint Louis, MO 63141. The listed phone number is (314) 729-2855.

What is Alice Vlietstra's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Alice Vlietstra enrolled in Medicare?

Yes. Alice Vlietstra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alice Vlietstra accept?

Health plans from Medica, Oscar Insurance Company, Providence Health Plan and UnitedHealthcare list Alice Vlietstra 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 Alice Vlietstra was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.