Active NPI
Malissa Sue Dowell, LPC
- Professional Counselor
- Mexico, MO
National Provider Identifier
1306283627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2013013900
- Practice address
- 214 W Jackson St
Mexico, MO 65265-2712 - Phone
- (573) 682-4476
- Fax
- (417) 944-1440
- NPI assigned
- May 28, 2013
- Last updated
- Feb 12, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2013013900 | MO | Primary |
| Marriage & Family Therapist | 106H00000X | 2017030438 | MO |
Addresses
Primary practice location
214 W Jackson St
Mexico, MO 65265-2712
Mailing address
214 W Jackson St
Mexico, MO 65265-2712
Phone (573) 682-4476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490005429 | Medicaid | MO |
Other names 1
- Malissa Sue Beasley
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260220000732 | MO | Practitioner - Mental Health Counselor | 2264913037 | Practice locations: Mexico, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
19200 N Dowell LN
Centralia, MO 65240-3350
214 W Jackson St
Mexico, MO 65265-2712
Phone (573) 682-4476
8485 County Rd
Suite 146
Williamsburg, MO 63388
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013013900 | MO | MD | Professional Counselor |
| 2017030438 | MO | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1306283627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 W JACKSON ST",
"city": "MEXICO",
"state": "MO",
"postal_code": "652652712",
"telephone_number": "573-682-4476",
"fax_number": "417-944-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 W JACKSON ST",
"city": "MEXICO",
"state": "MO",
"postal_code": "652652712",
"telephone_number": "573-682-4476",
"fax_number": "417-944-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWELL",
"first_name": "MALISSA",
"middle_name": "SUE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-28",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2013013900",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MO",
"license": "2017030438",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490005429",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MALISSA",
"last_name": "BEASLEY",
"middle_name": "SUE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mexico, MO
- Dialysis Clinic Inc.
- Doc in a Box LLC (Simmons Family Practice)
- Doc in a Box Urgent Care LLC (Mexico After Hours Clinic)
- Ashlee Dougherty, PA-C
- Kiayana Latrece Douglas
- Drive-in Pharmacy Inc.
- Paige Duenke, DC
- Eagle Rehabilitation, LLC
- East Central Missouri Behavioral Health Serives, Inc (Arthur Center Behavioral Health)
- East Central Missouri Behavioral Health Services, Inc (Arthur Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.