Independence Center
Independence Center is a healthcare organization registered as Community/Behavioral Health Agency in Saint Louis, MO, holding Type 2 (organization) NPI 1174668289 since 2007. The authorized official on file is Patricia Holmes, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174668289 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Independence Center |
| Other name | <Unavail> |
| Practice address | 4245 FOREST PARK AVE, Saint Louis, MO, 63108 |
| Phone | 3142864545 |
| Fax | 3142864542 |
| Enumeration date | 2007-02-20 |
| Last updated in NPPES | 2026-03-18 |
Authorized official
| Name | Patricia Holmes |
|---|---|
| Title | Executive Director |
| Phone | 3148805415 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2084P0800X | Psychiatry Physician | Secondary | — | — |
| 225X00000X | Occupational Therapist | Secondary | — | — |
| 251S00000X | Community/Behavioral Health Agency | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 503350506 | Medicaid | MO | — |
| 560003943 | Medicaid | MO | — |
Copy-ready billing details
Provider: Independence Center NPI: 1174668289 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 4245 FOREST PARK AVE, Saint Louis, MO, 63108
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1558494286 | Independence Center | Organization | Community/Behavioral Health Agency | Saint Louis, MO |
| 1760839260 | Independence Center | Organization | Adult Mental Health Clinic/Center | Saint Louis, MO |
| 1588255806 | Patrick Charlier | Individual | Professional Counselor | Saint Louis, MO |
| 1952125585 | Jeffrey Brandt | Individual | Clinical Social Worker | Saint Louis, MO |
Verify this record
Cross-check NPI 1174668289 against the authoritative CMS record: view Independence Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Independence Center?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-03-18.