Active NPI
Pathways Counseling Center of Oklahoma
- Community/Behavioral Health Agency
- Hugo, OK
National Provider Identifier
1104183185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Hugo, OK
- NPI 1548519648
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.