Healthcare Provider Details

I. General information

NPI: 1730043043
Provider Name (Legal Business Name): CROSSPOINTE COUNSELING PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 S SYCAMORE ST
GARDNER KS
66030-1348
US

IV. Provider business mailing address

115 S SYCAMORE ST
GARDNER KS
66030-1348
US

V. Phone/Fax

Practice location:
  • Phone: 913-208-6972
  • Fax: 913-938-5261
Mailing address:
  • Phone: 913-208-6972
  • Fax: 913-938-5261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JAMES WADDLE
Title or Position: OWNER
Credential:
Phone: 913-208-6972