MARY SUSAN WATERS M.A., L.P.C.
NPI 1093722811
Counselor - Professional in Tulsa, OK

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
8596 E 101ST ST, SUITE D, TULSA, OK 74133(918) 671-2705(918) 369-7017 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Susan Waters M.a., L.p.c. NPPES

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

MARY SUSAN WATERS M.A., L.P.C. (NPI 1093722811) is an individual professional provider in Tulsa, Oklahoma, licensed in Oklahoma (2616) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1093722811
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY SUSAN WATERSCredential: M.A., L.P.C.
Location Address8596 E 101ST ST, SUITE DTulsa, OK 74133-7034
Mailing Address8596 E 101st St, Suite DTulsa, OK 74133-7034 · (918) 671-2705 · Fax (918) 369-7017
Fax(918) 369-7017
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1093722811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OK · 2616
8596 E 101ST ST, Tulsa, OK 74133

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 and accepts Medicare assignment

Mary Susan Waters M.a., L.p.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931623790
PECOS Enrollment IDI20250414002096
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.

Marriage & Family Therapist
8596 E 101ST ST, SUITE D
TULSA, OK 74133
Dentist (General Practice)
8596 E 101ST ST, SUITE A
TULSA, OK 74133
Physical Therapist
8596 E 101ST ST, STE H
TULSA, OK 74133
Family Medicine
8596 E 101ST ST, STE B
TULSA, OK 74133
Hospice Care, Community Based
8596 E 101ST ST, SUITE G
TULSA, OK 74133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093722811, enumerated as an "individual" on August 02, 2006.

The provider is located at 8596 E 101ST ST SUITE D TULSA, OK 74133 and the phone number is (918) 671-2705.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma,. Please consult your insurance carrier or call the provider to verify.