Individual provider Active NPI

Malissa Sue Dowell, LPC

  • Professional Counselor
  • Mexico, MO
National Provider Identifier
1306283627
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2013013900 Issued in MO
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
490005429MedicaidMO

Other names 1

  • Malissa Sue Beasley Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2013013900MOMDProfessional Counselor
2017030438MOMDMarriage & 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

Sources for this page

Verify at the official NPI Registry.