Dccca, Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

DCCCA, INC

Practice address

3015 W 31St St
Lawrence, KS 66047-3042

Phone

(785) 843-9262

Fax

(785) 843-9264

NPI assigned

Mar 27, 2007

Organization subpart

Yes

Parent organization

DCCCA, INC.As reported in NPPES

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

Authorized official

Name

Kerye J Jackson, CPA, CMA

Title

Cfo

Phone

(785) 841-4138

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• First Step at Lakeview Doing business as

Tax ID family

Dccca Inc14 organizations share this tax ID, including this one

Part of

Dccca Inc

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

• Dccca, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pratt, KS
  • NPI 1477646073
  NPD tax ID
• Dccca, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mission, KS
  • NPI 1639044365
  NPD tax ID
• Dccca, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wichita, KS
  • NPI 1679691331
  NPD tax ID
• Dccca, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wichita, KS
  • NPI 1700904513
  NPD tax ID
• Dccca, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mission, KS
  • NPI 1801486030
  NPD tax ID
• Dccca, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wichita, KS
  • NPI 1841405354
  NPD tax ID
• Dccca, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsburg, KS
  • NPI 1861793556
  NPD tax ID
• Dccca, Inc

  • Voluntary or Charitable Agency
  • Lawrence, KS
  • NPI 1881811867
  NPD tax ID
• Dccca, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lawrence, KS
  • NPI 1891813614
  NPD tax ID
• Dccca, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pittsburg, KS
  • NPI 1417076001
  NPD tax ID
• Dccca, Inc.

  • Foster Care Agency
  • Lawrence, KS
  • NPI 1467900357
  NPD tax ID
• Dccca, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lawrence, KS
  • NPI 1841494929
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dccca, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mission, KS
  • NPI 1639044365
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Ann Smith, LMSW

  • Social Worker
  • Lawrence, KS
  • NPI 1245331412
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1356469209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 CLINTON PKWY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660473624",
            "telephone_number": "785-841-4138",
            "fax_number": "785-841-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 W 31ST ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660473042",
            "telephone_number": "785-843-9262",
            "fax_number": "785-843-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCCCA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DCCCA, INC.",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KERYE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "785-841-4138",
        "authorized_official_credential": "CPA, CMA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "KS",
            "license": "134",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100106740I",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Step at Lakeview",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Step at Lakeview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katayoun Davoudi
• Anna Dawald
• Elizabeth Ann Day, LMSW
• Emma Day
• DBT Center of Lawrence and Kansas City LLC
• Dccca, Inc
• Dccca, Inc
• Dccca, Inc.
• Dccca, Inc.
• Jennifer Ann De la Rosa, LMSW

• Substance Use Disorder Rehabilitation Clinic/Center in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.