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MARISSA L PHEGLEY LPC
NPI 1790498731
Counselor - Professional in Bonne Terre, MO

Active since January 04, 2023PECOS Enrolled
11 S DIVISION ST STE A, BONNE TERRE, MO 63628(573) 723-1100(573) 723-1130 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2023, Dec 6, 2023, Jan 4, 2023 (3 updates tracked since 2023).

About Marissa L Phegley Lpc NPPES

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

MARISSA L PHEGLEY LPC (NPI 1790498731) is an individual professional provider in Bonne Terre, Missouri, licensed in Missouri (2025027355) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790498731
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARISSA L PHEGLEYCredential: LPC
Location Address11 S DIVISION ST STE ABonne Terre, MO 63628-1701
Mailing Address1365 Rue RivieraBonne Terre, MO 63628-9282 · (573) 631-1142 · Fax (573) 723-1130
Phone(573) 723-1100
Fax(573) 723-1130
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 4, 2023
Last NPPES UpdateJuly 23, 20253 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
✔ NPI 1790498731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MO · 2025027355✔ Licensed in MO · 2023000808
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2023000808 (MO)
11 S DIVISION ST STE A, Bonne Terre, MO 63628
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa L Phegley Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678039732
PECOS Enrollment IDI20260729001687
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 Marissa Phegley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marissa Phegley Lpc LLC
12 mi
Professional
202 W COLUMBIA ST
Farmington, MO 63640
  • Reassigned Medicare billing, Missouri enrollment
NPI 1023982782 (573) 631-1142

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 5

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

GLENDA CHARLENE COUNTS FNP
Nurse Practitioner (Family)
11 S DIVISION ST STE A
BONNE TERRE, MO 63628
St. Francois County (573) 723-1100
MRS. THERESA L LUMOS LPC
Counselor (Professional)
11 S DIVISION ST STE A
BONNE TERRE, MO 63628
St. Francois County (573) 723-1100
MARY CHANDLER AANP
Nurse Practitioner (Family)
11 S DIVISION ST STE A
BONNE TERRE, MO 63628
St. Francois County (573) 723-1100
BALI RAE HOOVER-RICHARDSON LPC
Counselor (Mental Health)
11 S DIVISION ST STE A
BONNE TERRE, MO 63628
St. Francois County (573) 723-1100
BONNE TERRE HEALTHCARE CLINIC LLC
Nurse Practitioner (Family)
11 S DIVISION ST STE A
BONNE TERRE, MO 63628
St. Francois County (573) 723-1100

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 Marissa Phegley's NPI number?

The NPI number for Marissa Phegley is 1790498731. It was assigned to this individual provider in the NPPES registry on January 4, 2023.

Where is Marissa Phegley located?

Marissa Phegley practices at 11 S Division St Ste A, Bonne Terre, MO 63628. The listed phone number is (573) 723-1100.

What is Marissa Phegley's specialty?

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

Is Marissa Phegley enrolled in Medicare?

Yes. Marissa Phegley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marissa Phegley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Phegley reassigns Medicare benefits to Marissa Phegley Lpc LLC (Farmington, 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 Marissa Phegley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marissa Phegley accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Insurance Company and UnitedHealthcare list Marissa Phegley 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 Marissa Phegley was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.