BELINDA MAE LICEA MA, LPC
NPI 1043721558
Counselor - Professional in Rolla, MO

Active since October 24, 2017PECOS Enrolled
1051 KINGSHIGHWAY ST STE 5, ROLLA, MO 65401(573) 364-8511 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2026, Apr 19, 2026, Jan 5, 2026 and 3 more (6 updates tracked since 2017).

About Belinda Mae Licea Ma, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BELINDA MAE LICEA MA, LPC (NPI 1043721558) is an individual professional provider in Rolla, Missouri, licensed in Missouri (2016019189) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains 10 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1043721558
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBELINDA MAE LICEACredential: MA, LPC
Location Address1051 KINGSHIGHWAY ST STE 5Rolla, MO 65401-2981
Mailing AddressPo Box 459Farmington, MO 63640-0459 · (573) 756-5749
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 24, 2017
Last NPPES UpdateJuly 30, 20266 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1043721558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2016019189
1051 KINGSHIGHWAY ST STE 5, Rolla, MO 65401

Secondary Practice Locations 10

Location 11597 N Highway 63, Suite 5Houston, MO 65483 · Phone (417) 967-2887
Location 2203 N Grand StSalem, MO 65560-1344 · Phone (573) 729-4103
Location 3215 3rd St Unit 2Steelville, MO 65565-5054 · Phone (833) 299-8788
Location 4125 E Green StPiedmont, MO 63957-1248 · Phone (573) 223-2734
Location 51103 Weber RdFarmington, MO 63640-3345 · Phone (573) 664-1629
Location 6101 S Main StPoplar Bluff, MO 63901-5843 · Phone (573) 686-5090
Location 73150 Warrior LnPoplar Bluff, MO 63901-8686 · Phone (573) 785-5333
Location 8PO Box 459Farmington, MO 63640-0459 · Phone (573) 756-5749
Location 95536 Highway 32Farmington, MO 63640-7357 · Phone (573) 756-5749
Location 101228 Deadra DrLebanon, MO 65536-4669 · Phone (417) 991-2505

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Belinda Mae Licea Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315412699
PECOS Enrollment IDI20260406001251
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Belinda Licea reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1300 E BRADFORD PKWY
Springfield, MO 65804
  • Reassigned Medicare billing, Missouri enrollment
  • 590 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1051 KINGSHIGHWAY ST STE 5
ROLLA, MO 65401
Counselor (Professional)
1051 KINGSHIGHWAY ST STE 5
ROLLA, MO 65401
Registered Nurse
1051 KINGSHIGHWAY ST STE 5
ROLLA, MO 65401
Counselor (Professional)
1051 KINGSHIGHWAY ST STE 5
ROLLA, MO 65401
Licensed Practical Nurse
1051 KINGSHIGHWAY ST STE 5
ROLLA, MO 65401
Licensed Practical Nurse
1051 KINGSHIGHWAY ST STE 5
ROLLA, MO 65401
Registered Nurse (Psychiatric/Mental Health, Adult)
1051 KINGSHIGHWAY ST STE 5
ROLLA, MO 65401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Belinda Licea's NPI number?

The NPI number for Belinda Licea is 1043721558. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Where is Belinda Licea located?

Belinda Licea practices at 1051 Kingshighway St Ste 5, Rolla, MO 65401. The listed phone number is (573) 364-8511.

What is Belinda Licea's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Belinda Licea enrolled in Medicare?

Yes. Belinda Licea is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Belinda Licea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Belinda Licea reassigns Medicare benefits to Burrell, Inc. (Springfield, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Belinda Licea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Belinda Licea accept?

Health plans from Anthem Blue Cross and Blue Shield and Cox HealthPlans list Belinda Licea as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Belinda Licea was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.