DCCCA, INC (NPI# 1760675706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760675706 |
| Entity Type | Organization |
| Organization Name | DCCCA, INC |
| Other Organization Name | DCCCA FAMILY PRESERVATION |
| Practice Address |
119 Jones St El Dorado KS 67042-1469 |
| Mailing Address |
3312 Clinton Pkwy Lawrence KS 66047-3624 |
| Practice Telephone | 3163229600 |
| Practice Fax Number | 3163229602 |
| Mailing Telephone | 7858414138 |
| Mailing Fax Number | 7858415777 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2020-05-27 |
| 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 |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 687 | KS | Agencies |
| Other Name | Type Code |
|---|---|
| DCCCA Family Preservation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558632299 | Dccca, Inc | Case Management | 3517 Lake Rd, Ponca City, OK 74604-5168 | 2012-01-25 |
| 1417280611 | Dccca, Inc | Case Management | 700 N Market St, Wichita, KS 67214-3518 | 2009-09-08 |
| 1336329911 | Dccca, Inc | Clinic/Center | 2110 Kansas Ave, Great Bend, KS 67530-2516 | 2007-11-12 |
| 1932228533 | Dccca, Inc | Clinic/Center | 1319 W May St, Suite 1319b, Wichita, KS 67213-3505 | 2007-03-28 |
| 1609994359 | Dccca, Inc | Substance Abuse Rehabilitation Facility | 1410 N Vine St, Hoisington, KS 67544-1557 | 2007-03-27 |
| 1356469209 | Dccca, Inc | Substance Abuse Rehabilitation Facility | 3015 W 31st St, Lawrence, KS 66047-3042 | 2007-03-27 |
| 1215055090 | Dccca, Inc | Clinic/Center | 501 W Central St, Columbus, KS 66725-9211 | 2007-03-27 |
| 1932227683 | Dccca, Inc | Substance Abuse Rehabilitation Facility | 2930 Sw Wanamaker Dr, Topeka, KS 66614-4116 | 2007-03-27 |
| 1477646073 | Dccca, Inc | Case Management | 501 S. Ninnescah, Pratt, KS 67124-2838 | 2006-10-02 |
| 1861793556 | Dccca, Inc | Case Management | 1102 S Rouse St, Pittsburg, KS 66762-6048 | 2010-11-11 |
| 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 |
119 JONES ST |
| City | EL DORADO |
| State | KS |
| Zip Code | 67042-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275737785 | Dccca, Inc. | Case Management | 119 Jones St, El Dorado, KS 67042-1469 | 2007-06-11 |
| 1174158489 | Cecilia R Shook | Marriage & Family Therapist | 119 Jones St, El Dorado, KS 67042-1469 | 2020-03-06 |
| 1255977302 | Stephani Lin Gallion | Social Worker | 119 Jones St, El Dorado, KS 67042-1469 | 2019-11-25 |
| 1851874762 | Janice Wendler | Social Worker | 119 Jones St, El Dorado, KS 67042-1469 | 2018-09-07 |
| 1508246612 | Bethany Frank | Social Worker | 119 Jones St, El Dorado, KS 67042-1469 | 2015-06-03 |
| 1063699973 | Marie A Wilson | Marriage & Family Therapist | 119 Jones St, El Dorado, KS 67042-1469 | 2008-01-23 |
| 1003097130 | Julie N Jones | Social Worker | 119 Jones St, El Dorado, KS 67042-1469 | 2007-11-16 |
| 1487847257 | Leslie M. Jensby | Social Worker | 119 Jones St, El Dorado, KS 67042-1469 | 2007-08-24 |
| 1811180896 | Sandra J Kelliher | Marriage & Family Therapist | 119 Jones St, El Dorado, KS 67042-1469 | 2007-08-22 |
| 1174716211 | James T Smith | Social Worker | 119 Jones St, El Dorado, KS 67042-1469 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821526104 | Nolan Ryan Andrews | Dentist | 535 S. Main Street, El Dorado, KS 67042 | 2017-05-31 |
| 1902262355 | Lisbeth Leiber | Nurse Practitioner | 1737 Se Hwy 54, El Dorado, KS 67042 | 2016-01-14 |
| 1992180202 | Jennifer Clausing | Pharmacist | 205 N. Vine, El Dorado, KS 67042 | 2015-07-28 |
| 1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
| 1316341027 | William L Wade | Nurse Practitioner | 1737 Se Highway 54, Eldorado, KS 67042 | 2014-10-09 |
| 1205070612 | Gabriel Omar De La Garza | Otolaryngology | 700 W Central Ave Suite 200, Eldorado, KS 67042 | 2009-04-29 |
| 1962608893 | South Central Mental Health Counseling Center Inc | Social Worker | 120 S Gordy, 3, El Dorado, KS 67042 | 2007-06-26 |
| 1699987958 | Grene Vision Group LLC | Ophthalmology | 1400 W Central, El Dorado, KS 67042 | 2007-05-07 |
| 1548388598 | Richard Alan Burton | Dentist | 310 Oil Hill Road, El Dorado, KS 67042 | 2007-03-27 |
| 1710002472 | Tender Care Pediatrics Pa | Pediatrics | 700 W. Central Ave, Ste 210, El Dorado, KS 67042 | 2007-03-20 |
| Find all providers in zip 67042 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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|---|---|---|---|---|
| 1346808474 | Amy Burns, Lpc, Inc | Community/Behavioral Health | 101 W Main St Ste 200, El Dorado, AR 71730-5654 | 2019-06-04 |
| 1407168354 | Alternative Opportunities | Community/Behavioral Health | 412 N Washington Street, El Dorado, AR 71730-5616 | 2010-07-08 |
| 1568890788 | South Arkansas Regional Health Center | Community/Behavioral Health | 715 N College Ave, El Dorado, AR 71730-4403 | 2013-10-25 |
| 1407141583 | South Arkansas Substance Abuse | Community/Behavioral Health | 100 Hargett Dr, El Dorado, AR 71730-6521 | 2011-06-16 |
| 1538478250 | South Arkansas Youth Services, Inc | Community/Behavioral Health | 300 Thompson Ave, El Dorado, AR 71730-4569 | 2010-09-29 |
| 1033232236 | Dayspring Services of Arkansas LLC | Community/Behavioral Health | 412 N Washington Ave, El Dorado, AR 71730-5616 | 2007-04-10 |
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| 1700491586 | Lutheran Association of Missionaries and Pilots U.S., Inc. | Community/Behavioral Health | 137 Pawnee Ave, Lawrence, KS 66046-4843 | 2020-09-09 |
| 1881208601 | Let's Talk Behavior LLC | Community/Behavioral Health | 2703 Hall St Ste B5, Hays, KS 67601-1899 | 2020-08-31 |
| 1245855238 | Njoku Psychiatry LLC | Community/Behavioral Health | 3500 N Rock Rd Unit 1800, Wichita, KS 67226-1341 | 2020-06-15 |
| 1538780234 | Bright Sky Therapy LLC | Community/Behavioral Health | 4609 N 121st Ter, Kansas City, KS 66109-2928 | 2020-05-04 |
| 1699301077 | Koeneman Psychological Services, LLC | Community/Behavioral Health | 5750 W. 95th St. Suite 220, Overland Park, KS 66207 | 2020-03-18 |
| 1861041717 | Horizons Mental Health Center, Inc. | Community/Behavioral Health | 1901 E 23rd Ave Ste 200, Hutchinson, KS 67502-1196 | 2019-09-04 |
| 1346707247 | Horizons Mental Health Center, Inc. | Community/Behavioral Health | 6919 N Lake Rd, Hutchinson, KS 67502-9108 | 2019-02-27 |
| 1437616331 | Horizons Mental Health Center, Inc. | Community/Behavioral Health | 824 Dull Knife Rd, Hutchinson, KS 67502-8985 | 2019-02-27 |
| 1811454085 | Horizons Mental Health Center, Inc. | Community/Behavioral Health | 1509 E 35th Ave, Hutchinson, KS 67502-1413 | 2019-02-25 |
| 1649748401 | Patterns Behavioral Services Kansas | Community/Behavioral Health | 134 N 130th St Ste C, Bonner Springs, KS 66012-9001 | 2018-11-08 |
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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.