=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730043043
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CROSSPOINTE COUNSELING PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/11/2025
-----------------------------------------------------
Last Update Date | 12/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 115 S SYCAMORE ST
-----------------------------------------------------
City | GARDNER
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66030-1348
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-208-6972
-----------------------------------------------------
Fax | 913-938-5261
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 115 S SYCAMORE ST
-----------------------------------------------------
City | GARDNER
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66030-1348
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-208-6972
-----------------------------------------------------
Fax | 913-938-5261
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JAMES WADDLE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 913-208-6972
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------