DCCCA, INC. (NPI# 1578767075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578767075 |
| Entity Type | Organization |
| Organization Name | DCCCA, INC. |
| Other Organization Name | DCCCA FAMILY PRESERVATION CHANUTE |
| Practice Address |
215 W Cherry St Chanute KS 66720-1756 |
| Mailing Address |
3312 Clinton Pkwy Lawrence KS 66047-3624 |
| Practice Telephone | 6204325180 |
| Practice Fax Number | 6204325174 |
| Mailing Telephone | 7858414138 |
| Mailing Fax Number | 7858415777 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | KERYE J. JACKSON (CFO) |
| Authorized Official Telephone | 7858414138 |
| Authorized Official Credential | CPA, CMA |
| Is Organization Subpart | Y |
| Parent Organization Name | DCCCA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | KS | Agencies | |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DCCCA Family Preservation Chanute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871797951 | Dccca, Inc. | Case Management | 503 N Walnut St, Pittsburg, KS 66762-3823 | 2007-06-13 |
| 1275737785 | Dccca, Inc. | Case Management | 119 Jones St, El Dorado, KS 67042-1469 | 2007-06-11 |
| 1417076001 | Dccca, Inc. | Case Management | 1102 South Rouse, Pittsburg, KS 66762-6023 | 2007-03-28 |
| 1932664190 | Dccca, Inc. | Counselor | 501 S Ninnescah St, Pratt, KS 67124-2838 | 2019-02-01 |
| 1467900357 | Dccca, Inc. | Foster Care Agency | 3312 Clinton Pkwy, Lawrence, KS 66047-3624 | 2016-09-20 |
| 1952505935 | Dccca, Inc. | Clinic/Center | 119 Jones St, El Dorado, KS 67042-1469 | 2007-06-13 |
| 1841494929 | Dccca, Inc. | Case Management | 3312 Clinton Pkwy, Lawrence, KS 66047-3624 | 2007-06-13 |
| 1740484260 | Dccca, Inc. | Case Management | 1101 Donald Ave, Independence, KS 67301-2001 | 2007-06-11 |
| 1629272042 | Dccca, Inc. | Case Management | 12351 W 96th Ter, Suite 300, Lenexa, KS 66215-4409 | 2007-06-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DCCCA, INC. | 3312 Clinton Pkwy, Lawrence, KS 66047-3624 |
| Colorado Business Entities | DCCCA, INC. | 3312 Clinton Pkwy, Lawrence, KS 66047 |
| Oklahoma Business Registrations | DCCCA, INC. | 3312 Clinton Parkway, Lawrence, KS 66047 |
| Street Address |
215 W CHERRY ST |
| City | CHANUTE |
| State | KS |
| Zip Code | 66720-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891921656 | Carrie Jean Catterson-fitzmaurice | Social Worker | 215 W Cherry St, Chanute, KS 66720-1756 | 2009-06-08 |
| 1295923118 | Nicole S Desmarteau | Social Worker | 215 W Cherry St, Chanute, KS 66720-1756 | 2007-10-04 |
| 1164615787 | Brian Lee Kraft | Social Worker | 215 W Cherry St, Chanute, KS 66720-1756 | 2007-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548813967 | Clinical Colleagues Ks Pa | Anesthesiology | 629 Plummer Ave, Chanute, KS 66720 | 2019-07-24 |
| 1912314386 | Matthew M Bogle | Nurse Practitioner | 2613 S Santa Fe Ave, Chanute, KS 66720 | 2014-07-17 |
| 1386057792 | Kenneth Eugene Wood Jr. | Contractor | 215 N Washington Ave, Chanute, KS 66720 | 2014-06-04 |
| 1578825006 | Jillina L Frazell | Registered Nurse | 2613 South Santa Fe, Chanute, KS 66720 | 2012-06-11 |
| 1871897629 | Katie Maria Holtzman | Physical Therapist | 629 S. Plummer, Chanute, KS 66720 | 2011-01-07 |
| 1588716963 | Amy M White Blakesley | Psychologist | 402 S Kansas, Chanute, KS 66720 | 2007-01-17 |
| 1669565610 | Pharmacy Mangagement, LLC | Pharmacy | 1720 S Santa Fe Ave, Box 126, Chanute, KS 66720 | 2006-10-02 |
| 1710995519 | William D Vietti | Optometrist | 32 W Main, Chanute, KS 66720 | 2006-08-04 |
| 1568408821 | Timothy D. Weilert | Chiropractor | 720 S. Santa Fe, Chanute, KS 66720 | 2006-06-22 |
| 1699743989 | Jack L Lowe | Optometrist | 15 N Highland, Chanute, KS 66720 | 2006-03-10 |
| Find all providers in zip 66720 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1538642509 | Restoration Family Counseling Services | Clinic/Center | 5120 E Central Ave Ste 1, Wichita, KS 67208-4168 | 2018-09-14 |
| 1467939124 | Alleviation Behavioral Health Care, LLC | Clinic/Center | 4123b Sw Twilight Dr, Topeka, KS 66614-3403 | 2018-07-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.