Healthcare Provider Details

I. General information

NPI: 1093673006
Provider Name (Legal Business Name): NORTH STAR MENTAL HEALTH COLLECTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2026
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5950 SW CHRISTINA CT
TOPEKA KS
66614-1908
US

IV. Provider business mailing address

5950 SW CHRISTINA CT
TOPEKA KS
66614-1908
US

V. Phone/Fax

Practice location:
  • Phone: 785-608-0084
  • Fax:
Mailing address:
  • Phone: 785-608-0084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL EDWARD WALPOLE
Title or Position: PRACTICE MANAGER
Credential:
Phone: 785-608-0084