Individual provider Active NPI

James Craig Waddle, LPC

  • Counselor
  • Gardner, KS
National Provider Identifier
1053506071
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC990 Issued in KS
Practice address
115 S Sycamore St
Gardner, KS 66030-1348
Phone
(913) 208-6972
NPI assigned
Sep 12, 2007
Last updated
May 29, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC990 KS Primary

Addresses

Primary practice location

115 S Sycamore St
Gardner, KS 66030-1348

Mailing address

307 E Nichols St
Spring Hill, KS 66083-8503
Phone (913) 208-6972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260225000319 KS Practitioner - Mental Health Counselor 4385125798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 S Sycamore St
Gardner, KS 66030-1348
Phone (913) 208-6972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC990KSMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crosspointe Counseling PA CurrentSince Dec 30, 2025 Accepting new patients

Locations

115 S Sycamore St
Gardner, KS 66030
Phone (913) 208-6972

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1053506071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E NICHOLS ST",
            "city": "SPRING HILL",
            "state": "KS",
            "postal_code": "660838503",
            "telephone_number": "913-208-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S SYCAMORE ST",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660301348",
            "telephone_number": "913-208-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDLE",
        "first_name": "JAMES",
        "middle_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KS",
            "license": "LPC990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, KS

Sources for this page

Verify at the official NPI Registry.