Dccca, Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

DCCCA, INC

Doing business as

Women's Recovery Center of Central Kansas

Practice address

8901 E Orme St
Wichita, KS 67207-2473

Phone

(316) 262-0505

Fax

(316) 262-7384

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 3

Addresses

Other identifiers 2

Other names 1

• Women's Recovery Center of Central Kansas 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

  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 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 Elm Acres Recovery-Pittsburg Outpatient

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

  dba Dccca HCBS

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

  dba DCCCA Behavioral Health Lawrence

  • 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

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": "1679691331",
    "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": "8901 E ORME ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672072473",
            "telephone_number": "316-262-0505",
            "fax_number": "316-262-7384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1319 W May St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672133505",
            "country_code": "US",
            "telephone_number": "316-265-0505",
            "fax_number": "316-262-7384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KS",
            "license": "279",
            "primary": false
        },
        {
            "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": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100106740D",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Recovery Center of Central Kansas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Women's Recovery Center of Central Kansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Lea Day, PTA
• Howard Alan Day, M.D.
• Leelin Tayag Day, LSCSW
• Meghan Day, LPN
• Nathanael Day, NURSE PRACTITIONER
• Dccca, Inc (DCCCA, Inc Options Adult)
• Dccca, Inc (DCCCA Behavioral Health Wichita)
• DCMS Inc (Happy Home Hearing)
• Ignacio Agustin De Cicco, M.D.
• Chrisanna Mae De Jesus

• Substance Use Disorder Rehabilitation Clinic/Center in Wichita, KS
• Providers in Wichita, 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.