Individual provider Active NPI

Holly Beth King, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brentwood, MO
National Provider Identifier
1720806326
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2024031590 Issued in MO
Practice address
2025 S Brentwood Blvd Ste 209
Brentwood, MO 63144-1851
Phone
(636) 949-5760
Fax
(866) 440-9231
NPI assigned
Oct 1, 2024
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G182051 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2024031590 MO Primary

Addresses

Primary practice location

2025 S Brentwood Blvd Ste 209
Brentwood, MO 63144-1851

Mailing address

4801 Weldon Spring Pkwy # 300
Weldon Spring, MO 63304-9101
Phone (636) 949-5760

Other practice location 1

4801 Weldon Spring Pkwy # 300
Weldon Spring, MO 63304-9101
Phone (636) 949-5760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241118002089 IA Practitioner - Nurse Practitioner 4688108368 Reassigns benefits to 3 organizations
I20260128000349 MO Practitioner - Nurse Practitioner 4688108368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Charles Psychiatric Associates, Inc.Group PAC ID 0648431312, 8 clinicians

Practice addresses (Care Compare)

2025 S Brentwood Blvd
Saint Louis, MO 63144-1851
Phone (636) 949-5760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
G182051IAMDPsychiatric/Mental Health Nurse Practitioner
2024031590MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Iowa PLLC CurrentSince Nov 12, 2024 Accepting new patients
St. Charles Psychiatric Associates, Inc. CurrentSince May 1, 2025 Accepting new patients
CH Specialty Services Ia PC CurrentSince Nov 12, 2024 Accepting new patients

Locations

200 16th Ave E
Spc Care
Albia, IA 52531

444 N West View Dr
Osceola, IA 50213
Phone (641) 342-6061

444 N West View Dr
Spc Care
Osceola, IA 50213

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

2025 S Brentwood Blvd
Ste 209
Saint Louis, MO 63144
Phone (636) 949-5760

4801 Weldon Spring Pkwy
#300
Weldon Spring, MO 63304
Phone (636) 949-3894

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1720806326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 WELDON SPRING PKWY # 300",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633049101",
            "telephone_number": "636-949-5760",
            "fax_number": "866-440-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 S BRENTWOOD BLVD STE 209",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441851",
            "telephone_number": "636-949-5760",
            "fax_number": "866-440-9231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Weldon Spring Pkwy # 300",
            "address_purpose": "LOCATION",
            "city": "Weldon Spring",
            "state": "MO",
            "postal_code": "633049101",
            "country_code": "US",
            "telephone_number": "636-949-5760",
            "fax_number": "866-440-9231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "HOLLY",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G182051",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2024031590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, MO

Sources for this page

Verify at the official NPI Registry.