Active NPI
Vcphcs XX, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Paris, TN
National Provider Identifier
1265878334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- VCPHCS XX, LLC
- Practice address
- 2555 E Wood St
Paris, TN 38242-7990 - Phone
- (731) 641-4545
- Fax
- (731) 641-4546
- NPI assigned
- May 16, 2013
- 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
- Jay Higham
- Title
- Ceo
- Phone
- (214) 365-6112
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Methadone Clinic | 261QM2800X | L000000011849 | TX | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
2555 E Wood St
Paris, TN 38242-7990
Mailing address
5001 Spring Valley Road
Suite 600 East
Dallas, TX 75244-3946
Phone (214) 365-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200201000090 | TN | Part B Supplier - Opioid Treatment Program (Otp) | 8325316581 | Practice locations: Paris, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2042983 | Vcphcs XX, LLC | Certificate of waiver | Jun 24, 2028 |
National Provider Directory
National Provider DirectoryLocations
2555 E Wood St
Paris, TN 38242
Phone (214) 365-6132
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Frankfort, KY
- NPI 1295387819
-
- Licensed Practical Nurse
- Paris, TN
- NPI 1437583283
-
- Licensed Practical Nurse
- Paris, TN
- NPI 1346674199
-
- Social Worker
- Paris, TN
- NPI 1083048839
-
- Addiction (Substance Use Disorder) Counselor
- Paris, TN
- NPI 1174957922
-
- Addiction (Substance Use Disorder) Counselor
- Paris, TN
- NPI 1457704058
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1669590584
-
- Addiction (Substance Use Disorder) Counselor
- Paris, TN
- NPI 1801249347
-
- Addiction (Substance Use Disorder) Counselor
- Paris, TN
- NPI 1366876112
-
- Addiction (Substance Use Disorder) Counselor
- Paris, TN
- NPI 1124574959
-
- Addiction (Substance Use Disorder) Counselor
- Altamonte Springs, FL
- NPI 1457785206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735257600000",
"number": "1265878334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 SPRING VALLEY ROAD",
"address_2": "SUITE 600 EAST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752443946",
"telephone_number": "214-365-6100",
"fax_number": "214-365-6150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 E WOOD ST",
"city": "PARIS",
"state": "TN",
"postal_code": "382427990",
"telephone_number": "731-641-4545",
"fax_number": "731-641-4546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VCPHCS XX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-16",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A",
"authorized_official_last_name": "HIGHAM",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-365-6112"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "TX",
"license": "L000000011849",
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paris, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.