DCCCA, INC


Address: 1102 S Rouse St, Pittsburg, KS 66762-6048
Phone: 6202319840

DCCCA, INC (NPI# 1861793556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861793556
Entity Type Organization
Organization Name DCCCA, INC
Other Organization Name DCCCA BEHAVIORAL HEALTH PITTSBURG
Practice Address 1102 S Rouse St
Pittsburg
KS 66762-6048
Mailing Address 3312 Clinton Pkwy
Lawrence
KS 66047-3624
Practice Telephone 6202319840
Practice Fax Number 6202319893
Mailing Telephone 7858414138
Mailing Fax Number 7858413642
Enumeration Date 2010-11-11
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management Agencies
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KS 100106740N 05

Other Provider/Organization Names

Other Name Type Code
DCCCA Behavioral Health Pittsburg Doing Business As Name - Organization

Other Provider IDs and Locations

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
1053551663 Dccca, Inc Case Management 121 College St, Winfield, KS 67156-2442 2009-02-23

Other Data Sources

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

Office Location

Street Address 1102 S ROUSE ST
City PITTSBURG
State KS
Zip Code 66762-6048

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588828552 Lisa Marie Milford Psychologist 1102 S Rouse St, Pittsburg, KS 66762-6048 2008-07-17
1912313503 Tonya Choate Social Worker 1102 S Rouse St, Pittsburg, KS 66762-6048 2014-07-03
1447674080 Terri Bushey Counselor 1102 S Rouse St, Pittsburg, KS 66762-6048 2014-02-18
1811311426 Heather Guilfoyle Counselor 1102 S Rouse St, Pittsburg, KS 66762-6048 2014-02-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578172250 Mallory Kate Revell Student in an Organized Health Care Education/Training Program 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 2020-07-28
1245849967 Shelbie Cosby Student in an Organized Health Care Education/Training Program 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 2020-07-28
1679103642 Jessica Crager Nurse Practitioner 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 2020-01-18
1376198226 Apollo Services Inc Durable Medical Equipment & Medical Supplies 2505 S Springdale, Pittsburg, KS 66762 2019-08-07
1851885719 Chelsea Duncan Social Worker 911 E Centennial, Pittsburg, KS 66762 2018-06-14
1902395858 Alexandria Winter Specialist/Technologist 1701 S Homer Street, Pittsburg, KS 66762 2018-05-07
1811419633 Troy Richard Quenzer Specialist/Technologist 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 2017-07-13
1356727002 John Klodt Social Worker 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 2015-08-05
1295120533 Christine E. Conner Nurse Practitioner 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 2015-04-03
1700278983 Performance Spine & Sport LLC Chiropractor 2597 S. Broadway Suite A, Pittsburg, KS 66762 2015-02-25
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831248392 Contra Costa Arc Clinic/Center 300 E Leland Rd Ste 100, Pittsburg, CA 94565-4961 2007-01-10
1033675624 Got Your Six Counseling, LLC Clinic/Center 113 E 3rd St, Pittsburg, KS 66762-4807 2019-02-19
1003316803 Psychsolutions Clinic/Center 109 W 4th St, Pittsburg, KS 66762-4801 2018-02-19
1376973271 Portia Bell Hume Behavioral Health and Training Center Clinic/Center 555 School St, Pittsburg, CA 94565-3937 2013-11-14
1134313547 Portia Bell Hume Behavioral Health and Training Center Clinic/Center 555 School St, Pittsburg, CA 94565-3937 2007-08-29
1821117391 Dccca, Inc Clinic/Center 1002 E Madison St, Pittsburg, KS 66762-6023 2007-03-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386251429 Sent, Inc. Clinic/Center 455 Se Golf Park Blvd Ste 121, Topeka, KS 66605-2862 2020-09-23
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
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Competitor

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City PITTSBURG
Zip Code 66762

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Dataset Information

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.

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