Independence Center - Medicare Mental Health Clinic in Saint Louis, MO

Independence Center is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Saint Louis, Missouri. The current practice location for Independence Center is 4219 Laclede Ave, Suite B, Saint Louis, Missouri. For appointments, you can reach them via phone at (314) 286-4545. The mailing address for Independence Center is 4245 Forest Park Ave, Saint Louis, Missouri and phone number is (314) 880-5401.

Independence Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1174668289. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (314) 286-4545.

Contact Information

Independence Center
4219 Laclede Ave
Suite B
Saint Louis
MO 63108-2814
(314) 286-4545
(314) 286-4542

Map and Direction


Mental Health Clinic Profile

Full NameIndependence Center
SpecialityPsychiatry & Neurology
Location4219 Laclede Ave, Saint Louis, Missouri
Authorized Official Name and PositionPatricia Holmes (EXECUTIVE DIRECTOR)
Authorized Official Contact3148805415
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Independence Center
4245 Forest Park Ave
Saint Louis
MO 63108-2810

Ph: (314) 880-5401
Independence Center
4219 Laclede Ave
Suite B
Saint Louis
MO 63108-2814

Ph: (314) 286-4545

NPI Details:

NPI Number1174668289
Provider Enumeration Date02/20/2007
Last Update Date06/27/2022
Certification Date06/24/2022

Medicare PECOS Information:

Medicare PECOS PAC ID1759341852
Medicare Enrollment IDO20051111000129

Medical Identifiers

Medical identifiers for Independence Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174668289NPI-NPPES
503350506MedicaidMO
560003943MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Primary
225X00000XOccupational Therapist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Independence Center acts as a billing entity for following providers:
Provider NameCharles R Conway
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1497771356
PECOS PAC ID: 5395824353
Enrollment ID: I20080502000306
Provider NameSarah M Hartz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1922216829
PECOS PAC ID: 5698826030
Enrollment ID: I20090625000299
Provider NameBarbara L Devos Schoenig
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164715306
PECOS PAC ID: 8628247475
Enrollment ID: I20110811000466
Provider NameLaura E Romer
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1477697746
PECOS PAC ID: 4688840069
Enrollment ID: I20120106000149
Provider NameElodie A Andrews
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184924276
PECOS PAC ID: 9032354717
Enrollment ID: I20130329000032
Provider NameKacey Alexandra Patterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619433125
PECOS PAC ID: 6800138322
Enrollment ID: I20190503000476
Provider NameDavid N Daniels
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1639512809
PECOS PAC ID: 2365744745
Enrollment ID: I20210428000552
Provider NameCarly Ann Masinelli
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1598490724
PECOS PAC ID: 4981087103
Enrollment ID: I20220819001439
Provider NameKatherine Louise Denney
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942927207
PECOS PAC ID: 1456728773
Enrollment ID: I20221029000210

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.