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: August 16, 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.

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
Fax(573) 723-1130
Sole ProprietorNo
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

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.

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.

Nurse Practitioner (Family)
11 S DIVISION ST STE A
BONNE TERRE, MO 63628
Counselor (Professional)
11 S DIVISION ST STE A
BONNE TERRE, MO 63628
Nurse Practitioner (Family)
11 S DIVISION ST STE A
BONNE TERRE, MO 63628
Counselor (Mental Health)
11 S DIVISION ST STE A
BONNE TERRE, MO 63628
Nurse Practitioner (Family)
11 S DIVISION ST STE A
BONNE TERRE, MO 63628

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.

What insurance does Marissa Phegley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers 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 13 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.