NPIMap

Organization Active NPI

Dccca, Inc.

Doing business as Elm Acres Recovery-Pittsburg Outpatient

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pittsburg, KS
National Provider Identifier
1417076001
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
052 Issued in KS
Legal business name
DCCCA, INC.
Doing business as
Elm Acres Recovery-Pittsburg Outpatient
Practice address
1102 South Rouse
Pittsburg, KS 66762-6023
Phone
(620) 231-5310
Fax
(620) 231-1178
NPI assigned
Mar 28, 2007
Reactivated
Jun 11, 2026
Last updated
Jun 11, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DCCCA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 052 KS
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 052 KS Primary

Addresses

Primary practice location

1102 South Rouse
Pittsburg, KS 66762-6023

Mailing address

3312 Clinton Pkwy
Lawrence, KS 66047-3624
Phone (785) 841-4138

Other identifiers 3

IdentifierTypeStateIssuer
116027OtherKSBLUE CROSS BLUE SHIELD
100106740NMedicaidKS
6250045OtherKSUNITED BEHAVIORAL HEALTH

Other names 1

  • Elm Acres Recovery-Pittsburg Outpatient Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dccca Inc15 organizations share this tax ID, including this one
Part of
Dccca Inc

Other organizations with this tax ID 14

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

  • Dccca, Inc

    dba Hope Rising

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Lawrence, KS
    • NPI 1265338396
    NPD tax ID
  • Dccca, Inc

    dba First Step at Lakeview

    • Substance Use Disorder Rehabilitation Clinic/Center
    • Lawrence, KS
    • NPI 1356469209
    NPD tax ID
  • 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

    dba Women's Recovery Center of Central Kansas

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

    dba DCCCA, Inc Options Adult

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

    dba DCCCA Behavioral Health Mission

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

    dba DCCCA Behavioral Health Wichita

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

    dba DCCCA Behavioral Health Pittsburg

    • 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

    dba DCCCA, Inc Outpatient

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

    dba Dccca HCBS

    • Foster Care Agency
    • Lawrence, KS
    • NPI 1467900357
    NPD tax ID
View all 14

Locations

1102 S Rouse St
Pittsburg, KS 66762
Phone (620) 231-5310

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1417076001",
    "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": "1102 SOUTH ROUSE",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626023",
            "telephone_number": "620-231-5310",
            "fax_number": "620-231-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCCCA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DCCCA, INC.",
        "enumeration_date": "2007-03-28",
        "last_updated": "2026-06-11",
        "certification_date": "2020-05-29",
        "deactivation_date": "2026-05-12",
        "reactivation_date": "2026-06-11",
        "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": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KS",
            "license": "052",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "KS",
            "license": "052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "116027",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100106740N",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6250045",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elm Acres Recovery-Pittsburg Outpatient",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elm Acres Recovery-Pittsburg Outpatient",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.