Organization Active NPI

Pathwork Counseling PLLC

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1063297091
Registry record updated Mar 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PATHWORK COUNSELING PLLC
Practice address
8524 S Western Ave Ste 115
Oklahoma City, OK 73139-9248
Phone
(405) 252-0515
Fax
(405) 698-2776
NPI assigned
Aug 28, 2023
Last updated
Mar 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2026

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

Authorized official

Name
Suzanne Alain Waters, LCSWNPI 1467919258
Title
Owner/Managing Member
Phone
(240) 727-9677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

8524 S Western Ave Ste 115
Oklahoma City, OK 73139-9248

Mailing address

12312 S Land Ave
Oklahoma City, OK 73170-4514
Phone (405) 252-0515

Other practice location 1

112 N Broadway St Ste E
Moore, OK 73160-5138
Phone (405) 252-0515

Other practice location 2

10344 Greenbriar Pkwy
Oklahoma City, OK 73159-7643
Phone (405) 252-0515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260106002884 OK Part B Supplier - Clinic/Group Practice 2961998265 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

112 N Broadway St
Ste E
Moore, OK 73160
Phone (405) 252-0515

624 NW 5th St
Moore, OK 73160
Phone (405) 799-3379

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774137600000",
    "number": "1063297091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12312 S LAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731704514",
            "telephone_number": "405-252-0515",
            "fax_number": "405-698-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8524 S WESTERN AVE STE 115",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399248",
            "telephone_number": "405-252-0515",
            "fax_number": "405-698-2776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 N Broadway St Ste E",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "OK",
            "postal_code": "731605138",
            "country_code": "US",
            "telephone_number": "405-252-0515",
            "fax_number": "405-698-2776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10344 Greenbriar Pkwy",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731597643",
            "country_code": "US",
            "telephone_number": "405-252-0515",
            "fax_number": "405-698-2776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATHWORK COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2026-03-22",
        "certification_date": "2026-03-22",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "ALAIN",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "240-727-9677",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.