Active NPI
CCC Therapy Center LLC
- Clinical Social Worker
- Lexington, IN
National Provider Identifier
1811486723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CCC THERAPY CENTER LLC
- Practice address
- 5135 E Polk Rd
Lexington, IN 47138-8863 - Phone
- (812) 820-9643
- NPI assigned
- May 7, 2018
- 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
- Alisa R Cox, LCSW
- Title
- Director/Therapist
- Phone
- (812) 413-2468
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
5135 E Polk Rd
Lexington, IN 47138-8863
Mailing address
5135 E Polk Rd
Lexington, IN 47138-8863
Phone (812) 413-2468
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300031901 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Lexington, IN
- NPI 1326535675
-
- Student in an Organized Health Care Education/Training Program
- Lexington, IN
- NPI 1851993208
Multi-Specialty
-
- Marriage & Family Therapist
- Madison, IN
- NPI 1225626559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776297600000",
"number": "1811486723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5135 E POLK RD",
"city": "LEXINGTON",
"state": "IN",
"postal_code": "471388863",
"telephone_number": "812-413-2468",
"fax_number": "812-889-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5135 E POLK RD",
"city": "LEXINGTON",
"state": "IN",
"postal_code": "471388863",
"telephone_number": "812-820-9643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CCC THERAPY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-07",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "ALISA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DIRECTOR/THERAPIST",
"authorized_official_telephone_number": "812-413-2468",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300031901",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.