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Active NPI 1093722811 Individual Practitioner Female Practitioner

Mary Susan Waters , MA, LPC

Counselor - Professional • Tulsa, OK

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Mary Waters, MA, LPC is a registered Counselor - Professional practitioner in Tulsa, OK. With approximately 32 years of clinical practice since completing medical education in 1994, Mary Waters provides healthcare services at the registered practice location at 8596 E 101ST ST.

Mary Waters is affiliated with Jeffrey K Mcilroy Md Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

8596 E 101st St
Suite D

Tulsa, OK 741337034

Telephone 9186712705
Fax 9183697017
Associated Practice Facility / Clinic
🏢 Solace Hospice, Llc Facility NPI 1760506000

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Tulsa, OK

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
32 Yrs +13.6 yrs vs City Avg
City Avg: 18.4 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
516 Specialists

Practicing in Tulsa, OK (2681 Statewide)

Telehealth Adoption Rate
2.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waters (32 Years) 32 Yrs
Tulsa Specialty Average (18.4 Years) 18.4 Yrs

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OK 2616

Definition to come...

Hospital & Practice Group Affiliations

Jeffrey K Mcilroy Md Inc

8937 S Garnett Rd, Broken Arrow, OK 740126004

Phone: 9188729777

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Janie Wade , LPC

Counselor - Professional

NPI 1205934635

Licensed Professional Counselor

Lila Blackburn , MS LPC

Counselor - Professional

NPI 1225196629

MSLPC

Dr. John Schultz , DDS

Dentist - General Practice

NPI 1235399890

Doctor of Dental Surgery

Rose Marie Dayag , PT

Physical Therapist

NPI 1427356583

Physical Therapist

Elizabeth Gwin , MHR LMFT

Marriage & Family Therapist

NPI 1790876555

MHRLMFT

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 8596 E 101ST ST, SUITE D, TULSA, OK 741337034 (Tel: 9186712705)

📍
Updated Business Mailing Address July 08, 2007

Registered at 8596 E 101ST ST, SUITE D, TULSA, OK 741337034 (Tel: 9186712705)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARY WATERS, M.A., L.P.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #2616 in OK)

🟢
Initial NPI Registration & Enumeration August 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093722811
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

8596 E 101st St, Suite D

Tulsa, OK 741337034

Phone: 9186712705

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.