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
- Last updated
- Dec 27, 2024
- 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, and the practitioner matching its NPPES authorized official.
-
- 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.