Active NPI
Cedar Crossing Counseling, LLC
- Professional Counselor
- Boerne, TX
National Provider Identifier
1982286662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- CEDAR CROSSING COUNSELING, LLC
- Practice address
- 203 Saddle Mountain Dr
Boerne, TX 78006-3821 - Phone
- (361) 816-2327
- NPI assigned
- Apr 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly J Benedict, LPC
- Title
- Provider, Owner
- Phone
- (361) 816-2327
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
203 Saddle Mountain Dr
Boerne, TX 78006-3821
Mailing address
PO Box 2304
Boerne, TX 78006-6304
Phone (361) 816-2327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 424898101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701820800000",
"number": "1982286662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2304",
"city": "BOERNE",
"state": "TX",
"postal_code": "780066304",
"telephone_number": "361-816-2327",
"fax_number": "361-257-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 SADDLE MOUNTAIN DR",
"city": "BOERNE",
"state": "TX",
"postal_code": "780063821",
"telephone_number": "361-816-2327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDAR CROSSING COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-22",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A",
"authorized_official_last_name": "BENEDICT",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PROVIDER, OWNER",
"authorized_official_telephone_number": "361-816-2327",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "424898101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.