Active NPI
Belinda Mae Licea, MA, LPC
- Professional Counselor
- Rolla, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2016019189
- Practice address
- 1051 Kingshighway St Ste 5
Rolla, MO 65401-2981 - Phone
- (573) 364-8511
- NPI assigned
- Oct 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2016019189 | MO | Primary |
Addresses
Primary practice location
1051 Kingshighway St Ste 5
Rolla, MO 65401-2981
Mailing address
PO Box 459
Farmington, MO 63640-0459
Phone (573) 756-5749
Other practice location 1
PO Box 459
Farmington, MO 63640-0459
Phone (573) 756-5749
Other practice location 2
1228 Deadra Dr
Lebanon, MO 65536-4669
Phone (417) 991-2505
Other practice location 3
125 E Green St
Piedmont, MO 63957-1248
Phone (573) 223-2734
Other practice location 4
101 S Main St
Poplar Bluff, MO 63901-5843
Phone (573) 686-5090
Other practice location 5
203 N Grand St
Salem, MO 65560-1344
Phone (573) 729-4103
Other practice location 6
215 3rd St Unit 2
Steelville, MO 65565-5054
Phone (833) 299-8788
Other practice location 7
3150 Warrior Ln
Poplar Bluff, MO 63901-8686
Phone (573) 785-5333
Other practice location 8
1103 Weber Rd
Farmington, MO 63640-3345
Phone (573) 664-1629
Other practice location 9
5536 Highway 32
Farmington, MO 63640-7357
Phone (573) 756-5749
Other practice location 10
1597 N Highway 63
Suite 5
Houston, MO 65483
Phone (417) 967-2887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Kansas City, MO 64184
PO Box
Suite 459
Farmington, MO 63640
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016019189 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Missouri Behavioral Health Inc | Current | Accepting new patients | |
| Burrell, Inc. | Current | Accepting new patients | |
| Unconditional Counseling LLC | Professional | Current | Accepting new patients |
| Southeast Missouri Behavioral Health | Past | Accepting new patients |
Locations
1103 Weber Rd
Farmington, MO 63640
Phone (573) 456-4581
5536 State Highway 32
Farmington, MO 63640
Phone (573) 756-5749
1228 Deadra Dr
Lebanon, MO 65536
Phone (417) 882-4880
3150 Warrior Ln
Poplar Bluff, MO 63901
Phone (573) 686-5090
101 S Main St
Poplar Bluff, MO 63901
Phone (573) 624-6937
1051 Kingshighway St
Ste 5
Rolla, MO 65401
Phone (573) 364-8511
203 N Grand St
Salem, MO 65560
Phone (573) 729-4103
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Farmington, MO
- NPI 1982875407
-
- Professional Counselor
- Lebanon, MO
- NPI 1831760552
-
- Community/Behavioral Health Agency
- Springfield, MO
- NPI 1275541740
-
- Adult Mental Health Clinic/Center
- Farmington, MO
- NPI 1144372517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1043721558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 459",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636400459",
"telephone_number": "573-756-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 KINGSHIGHWAY ST STE 5",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012981",
"telephone_number": "573-364-8511"
}
],
"practiceLocations": [
{
"address_1": "PO Box 459",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "MO",
"postal_code": "636400459",
"country_code": "US",
"telephone_number": "573-756-5749",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1228 Deadra Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "MO",
"postal_code": "655364669",
"country_code": "US",
"telephone_number": "417-991-2505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 E Green St",
"address_purpose": "LOCATION",
"city": "Piedmont",
"state": "MO",
"postal_code": "639571248",
"country_code": "US",
"telephone_number": "573-223-2734",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 S Main St",
"address_purpose": "LOCATION",
"city": "Poplar Bluff",
"state": "MO",
"postal_code": "639015843",
"country_code": "US",
"telephone_number": "573-686-5090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "203 N Grand St",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "MO",
"postal_code": "655601344",
"country_code": "US",
"telephone_number": "573-729-4103",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "215 3rd St Unit 2",
"address_purpose": "LOCATION",
"city": "Steelville",
"state": "MO",
"postal_code": "655655054",
"country_code": "US",
"telephone_number": "833-299-8788",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3150 Warrior Ln",
"address_purpose": "LOCATION",
"city": "Poplar Bluff",
"state": "MO",
"postal_code": "639018686",
"country_code": "US",
"telephone_number": "573-785-5333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1103 Weber Rd",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "MO",
"postal_code": "636403345",
"country_code": "US",
"telephone_number": "573-664-1629",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5536 Highway 32",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "MO",
"postal_code": "636407357",
"country_code": "US",
"telephone_number": "573-756-5749",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1597 N Highway 63",
"address_2": "Suite 5",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "MO",
"postal_code": "65483",
"country_code": "US",
"telephone_number": "417-967-2887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LICEA",
"first_name": "BELINDA",
"middle_name": "MAE",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-24",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2016019189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.