Angela Kaye McGowan, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2004014037 Issued in MO

Practice address

12 W Business Highway 60
Dexter, MO 63841-1650

Phone

(573) 624-1090

NPI assigned

Mar 23, 2007

Last updated

Sep 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1144347105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W BUSINESS US HIGHWAY 60",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638411117",
            "telephone_number": "573-624-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W BUSINESS HIGHWAY 60",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638411650",
            "telephone_number": "573-624-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "ANGELA",
        "middle_name": "KAYE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2004014037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498338607",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Mayberry, CCC-SLP
• Hillary A Mayberry, LPC
• Kathryn A. Mayberry, O.D.
• Christa Renee McBroom, PHARMD
• Tonya McClain, PNP
• Summer Lynn McGowan, LPC
• Amy Mekan, RN
• Memory Lane of Dexter, LLC (Memory Lane of Dexter)
• Aaron Kate Menley
• Meramec Emergency Physicians, LLP

• Professional Counselor in Dexter, MO
• Providers in Dexter, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.