Individual provider Active NPI

Misty Relos, MA, LPC, NCC

  • Mental Health Counselor
  • Marshall, MO
National Provider Identifier
1568060192
Registry record updated Jun 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2021005245 Issued in MO
Practice address
659 S Salt Pond Ave
Marshall, MO 65340-2515
Phone
(573) 300-4223
NPI assigned
Oct 15, 2020
Last updated
Jun 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2021005245 MO Primary

Addresses

Primary practice location

659 S Salt Pond Ave
Marshall, MO 65340-2515

Mailing address

659 S Salt Pond Ave
Marshall, MO 65340-2515
Phone (573) 300-4223

Other names 1

  • Christine Margarita Reinheimer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2021005245MOMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749254400000",
    "number": "1568060192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 S SALT POND AVE",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653402515",
            "telephone_number": "573-300-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 S SALT POND AVE",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653402515",
            "telephone_number": "573-300-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELOS",
        "first_name": "MISTY",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2021005245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "REINHEIMER",
            "middle_name": "MARGARITA",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marshall, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2025; 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.