DCCCA, INC. (NPI# 1740484260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740484260 |
| Entity Type | Organization |
| Organization Name | DCCCA, INC. |
| Other Organization Name | DCCCA FAMILY PRESERVATION INDEPENDENCE |
| Practice Address |
1101 Donald Ave Independence KS 67301-2001 |
| Mailing Address |
3312 Clinton Pkwy Lawrence KS 66047-3624 |
| Practice Telephone | 6203313482 |
| Practice Fax Number | 6203325120 |
| 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) |
KS | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DCCCA Family Preservation Independence | 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 |
| 1578767075 | Dccca, Inc. | Case Management | 215 W Cherry St, Chanute, KS 66720-1756 | 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 |
| 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 |
1101 DONALD AVE |
| City | INDEPENDENCE |
| State | KS |
| Zip Code | 67301-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811925357 | Marie Elaine Ingram | Social Worker | 1101 Donald Ave, Independence, KS 67301-2001 | 2006-06-30 |
| 1568948164 | Leah Tucker | Social Worker | 1101 Donald Ave, Independence, KS 67301-2001 | 2018-07-17 |
| 1477969962 | Tiffany Neely | Counselor | 1101 Donald Ave, Independence, KS 67301-2001 | 2014-07-07 |
| 1972942837 | Brian Murrison | Social Worker | 1101 Donald Ave, Independence, KS 67301-2001 | 2013-06-24 |
| 1386906394 | Kelly Bradford | Counselor | 1101 Donald Ave, Independence, KS 67301-2001 | 2012-06-14 |
| 1144420464 | Tonja Mccollam | Social Worker | 1101 Donald Ave, Independence, KS 67301-2001 | 2007-07-24 |
| 1851498653 | Michele Vanwinkle | Counselor | 1101 Donald Ave, Independence, KS 67301-2001 | 2006-09-20 |
| 1265534077 | Janet West | Social Worker | 1101 Donald Ave, Independence, KS 67301-2001 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509217 | Lee Ann Gingery | Social Worker | 116 1/2 West Myrtle, Independence, KS 67301 | 2019-07-11 |
| 1801180070 | Jeffrey Neil Carnes | Counselor | 1101 Donald Avenue, Independence, KS 67301 | 2011-06-06 |
| 1699099077 | Four County Mental Health Center | Home Health | 415 Fruitland, Independence, KS 67301 | 2010-03-15 |
| 1558570234 | Rahab M Nduati | Occupational Therapist | 1000 W Mulberry Street, Independence, KS 67301 | 2007-05-21 |
| 1164639779 | Robert M Osborn Do Pa | Family Medicine | 400 N. 14th St., Independence, KS 67301 | 2007-05-16 |
| 1619198280 | Michael Alford | Social Worker | 3751 West Main, Independence, KS 67301 | 2007-05-01 |
| 1699836650 | Dacia Christine Thiele | Social Worker | 200 Arco Suite 501, Independence, KS 67301 | 2006-12-13 |
| 1134157167 | Carl L Mitchell Jr. | Social Worker | 220 E. Chestnut, Independence, KS 67301 | 2006-06-29 |
| 1437118239 | Renal Treatment Centers West Inc | Clinic/Center | 801 W Myrtle St, Independence, KS 67301 | 2006-03-21 |
| 1649767112 | Rachael Dawn Miles | Counselor | 3751 W Main St, Independence, KS 67301 | 2018-04-19 |
| Find all providers in zip 67301 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043873052 | Lee Harris Counseling LLC | Clinic/Center | 1404 N Cherokee St, Independence, MO 64058-1106 | 2019-04-16 |
| 1174634240 | Lds Family Services | Clinic/Center | 517 W Walnut St, Suite 2, Independence, MO 64050-3632 | 2006-08-31 |
| 1548227770 | County of Trempealeau | Clinic/Center | 23062 Whitehall Rd, Independence, WI 54747-9065 | 2006-05-01 |
| 1255303335 | Comprehensive Mental Health Services Inc | Clinic/Center | 17844 E. 23rd. St., Independence, MO 64057-1805 | 2006-02-03 |
| 1841290251 | Four County Mental Health Center Inc | Clinic/Center | 3751 W Main St, Independence, KS 67301-8446 | 2005-07-28 |
| 1578192308 | Memoir Counseling, LLC | Clinic/Center | 4731 S Cochise Dr Ste 206, Independence, MO 64055-6975 | 2020-04-03 |
| 1033288535 | Four County Mental Health Center, Inc. | Clinic/Center | 3751 W Main St, Independence, KS 67301-8446 | 2006-11-07 |
| 1396825782 | Four County Mental Health Center, Inc. | Clinic/Center | 3751 W Main St, Independence, KS 67301-8446 | 2006-10-17 |
| 1598845984 | Four County Mental Health Center, Inc. | Clinic/Center | 3751 W Main St, Independence, KS 67301-8446 | 2006-10-17 |
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|---|---|---|---|---|
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| 1922614122 | Meier Clinics of Colorado, P.C. | Clinic/Center | 902 W. Old Highway 24, Goodland, KS 67735 | 2020-09-22 |
| 1255941811 | Revival Counseling & Recovery | Clinic/Center | 205 S 4th St Ste C6, Manhattan, KS 66502-6168 | 2020-08-07 |
| 1942826003 | Courage Counseling LLC | Clinic/Center | 729 1/2 Massachusetts St Ste 214, Lawrence, KS 66044-2257 | 2020-06-24 |
| 1225669377 | Meas LLC | Clinic/Center | 9516 Lowell Ave, Overland Park, KS 66212-3301 | 2020-01-28 |
| 1316577497 | Sense of Self Therapy LLC | Clinic/Center | 10100 W 87th St Ste 118, Overland Park, KS 66212-4628 | 2020-01-17 |
| 1619441680 | Jkc Psych LLC | Clinic/Center | 8100 E 22nd St N Ste 1600, Wichita, KS 67226-2388 | 2019-01-14 |
| 1780157982 | Clear Horizon Therapy Inc | Clinic/Center | 625 E. Crawford Street Suite 209d, Salina, KS 67401 | 2019-01-10 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 67301 |
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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.