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OCTAVIA JO WALENCIAK
NPI 1124744172
Counselor in Moore, OK

Active since October 12, 2022
620 NW 5TH ST STE D, MOORE, OK 73160(405) 208-4469(405) 208-4472 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2025, Oct 12, 2022 (2 updates tracked since 2022).

About Octavia Jo Walenciak NPPES

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

OCTAVIA JO WALENCIAK (NPI 1124744172) is an individual counselor in Moore, Oklahoma and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1124744172
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameOCTAVIA JO WALENCIAK
Location Address620 NW 5TH ST STE DMoore, OK 73160-3947
Mailing Address620 Nw 5th St Ste DMoore, OK 73160-3947 · (405) 208-4469 · Fax (405) 208-4472
Phone(405) 208-4469
Fax(405) 208-4472
Sole ProprietorYes
Enumeration DateOctober 12, 2022
Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1124744172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
620 NW 5TH ST STE D, Moore, OK 73160
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLEE YOUNG LPC
Counselor (Mental Health)
620 NW 5TH ST STE D
MOORE, OK 73160
Cleveland County (405) 208-4469
JAELYNN MAE FARLEY-JONES
Social Worker
620 NW 5TH ST STE D
MOORE, OK 73160
Cleveland County (405) 208-4469
DREW TYSON PIERCE LPC-CANDIDATE
Counselor (Mental Health)
620 NW 5TH ST STE D
MOORE, OK 73160
Cleveland County (405) 208-4469
MR. ISAIAH DAESHAWN ROBERSON
Counselor
620 NW 5TH ST STE D
MOORE, OK 73160
Cleveland County (405) 208-4469
HANNAH LAREE GRAY
Marriage & Family Therapist
620 NW 5TH ST STE D
MOORE, OK 73160
Cleveland County (405) 432-9562
HEATHER GLENN
Counselor
620 NW 5TH ST STE D
MOORE, OK 73160
Cleveland County (405) 208-4469
LAUREN RILEY
Counselor
620 NW 5TH ST STE D
MOORE, OK 73160
Cleveland County (405) 208-4469
JESSICA C CRIBBS
Case Manager/Care Coordinator
620 NW 5TH ST STE D
MOORE, OK 73160
Cleveland County (405) 208-4469

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 Octavia Walenciak's NPI number?

The NPI number for Octavia Walenciak is 1124744172. It was assigned to this individual provider in the NPPES registry on October 12, 2022.

Where is Octavia Walenciak located?

Octavia Walenciak practices at 620 NW 5th St Ste D, Moore, OK 73160. The listed phone number is (405) 208-4469.

What is Octavia Walenciak's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Octavia Walenciak was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.