Organization Active NPI

Dccca, Inc

  • Voluntary or Charitable Agency
  • Lawrence, KS
National Provider Identifier
1881811867
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
DCCCA, INC
Practice address
3312 Clinton Pkwy
Lawrence, KS 66047-3624
Phone
(785) 841-4138
Fax
(785) 841-5777
NPI assigned
Apr 19, 2007
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
Community/Behavioral Health Agency 251S00000X
Voluntary or Charitable Agency 251V00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

3312 Clinton Pkwy
Lawrence, KS 66047-3624

Mailing address

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

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.

View all 13

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1881811867",
    "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": "3312 CLINTON PKWY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660473624",
            "telephone_number": "785-841-4138",
            "fax_number": "785-841-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCCCA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DCCCA, INC",
        "enumeration_date": "2007-04-19",
        "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": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, 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.