Organization Active NPI

Pathways Counseling Center of Oklahoma

  • Community/Behavioral Health Agency
  • Hugo, OK
National Provider Identifier
1104183185
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PATHWAYS COUNSELING CENTER OF OKLAHOMA
Practice address
112 W Jackson St
Hugo, OK 74743-3310
Phone
(580) 326-9128
NPI assigned
Apr 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Authorized official

Name
Mr. George Wayne Durrence, MBS, LBP
Title
Owner/ Clinical Director
Phone
(580) 326-9128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OK Primary

Addresses

Primary practice location

112 W Jackson St
Hugo, OK 74743-3310

Mailing address

112 W Jackson St
Hugo, OK 74743-3310
Phone (580) 326-9128

National Provider Directory

National Provider Directory

Locations

112 W Jackson St
Hugo, OK 74743
Phone (580) 326-9128

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1104183185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747433310",
            "telephone_number": "580-326-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747433310",
            "telephone_number": "580-326-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS COUNSELING CENTER OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "DURRENCE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "580-326-9128",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBS, LBP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hugo, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.