NPIMap

Organization Active NPI

Dccca, Inc

Doing business as DCCCA, Inc Options Adult

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wichita, KS
National Provider Identifier
1700904513
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
DCCCA, INC
Doing business as
DCCCA, Inc Options Adult
Practice address
8901 E Orme St
Wichita, KS 67207-2473
Phone
(316) 265-6011
Fax
(316) 265-4022
NPI assigned
Mar 27, 2007
Last updated
May 29, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DCCCA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2020

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 074 KS
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

8901 E Orme St
Wichita, KS 67207-2473

Mailing address

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

Other practice location 1

122 N Millwood St
Wichita, KS 67203-5850
Phone (316) 265-6011

Other identifiers 1

IdentifierTypeStateIssuer
1246OtherKSBLUE CROSS BLUE SHIELD

Other names 1

  • DCCCA, Inc Options Adult Doing business as

National Provider Directory

National Provider Directory
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 Women's Recovery Center of Central Kansas

    • Substance Use Disorder Rehabilitation Clinic/Center
    • Wichita, KS
    • NPI 1679691331
    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
View all 13

Locations

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

122 N Millwood St
Wichita, KS 67203
Phone (316) 265-6011

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 7

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1700904513",
    "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": "316-265-6011",
            "fax_number": "316-265-4022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 N Millwood St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672035850",
            "country_code": "US",
            "telephone_number": "316-265-6011",
            "fax_number": "316-265-4022",
            "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": "074",
            "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1246",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DCCCA, Inc Options Adult",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DCCCA, Inc Options Adult",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • 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.