Marissa L Phegley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2025027355 Issued in MO

Practice address

11 S Division St Ste a
Bonne Terre, MO 63628-1701

Phone

(573) 723-1100

Fax

(573) 723-1130

NPI assigned

Jan 4, 2023

Last updated

Jul 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20393/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marissa Phegley LPC LLC

  • Professional Counselor
  • Farmington, MO
  • NPI 1023982782
  NPD Authorized official
• A Horizons Counseling LLC

  dba A Horizons Counseling

  • Community/Behavioral Health Agency
  • Farmington, MO
  • NPI 1952049322
  NPD (past)
• Bonne Terre Healthcare Clinic LLC

  • Family Nurse Practitioner
  • Bonne Terre, MO
  • NPI 1962043802

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1790498731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 RUE RIVIERA",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636289282",
            "telephone_number": "573-631-1142",
            "fax_number": "573-723-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S DIVISION ST STE A",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281701",
            "telephone_number": "573-723-1100",
            "fax_number": "573-723-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHEGLEY",
        "first_name": "MARISSA",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2023000808",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2023000808",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2025027355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Brendan Parish, D.C.
• Parkland Health Center (Parkland Health Center - Bonne Terre)
• Parkland Health Center (Parkland Health Center - Bonne Terre)
• Pharmax BT Inc (Pharmax Pharmacy #1365)
• Pharmax BT Inc (Pharmax LTC 1365)
• Mason Pratt, DC
• Primary Care of Bonne Terre LLC (Primary Care of Bonne Terre)
• Kenny Ratana, M.D.
• Rachel M Rayburn, FNP-C
• Daniel O. Reiter, D.C.

• Professional Counselor in Bonne Terre, MO
• Providers in Bonne Terre, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.

Verify at the official NPI Registry.