DCCCA, INC. (NPI# 1871797951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871797951 |
| Entity Type | Organization |
| Organization Name | DCCCA, INC. |
| Other Organization Name | DCCCA FAMILY PRESERVATION PITTSBURG |
| Practice Address |
503 N Walnut St Pittsburg KS 66762-3823 |
| Mailing Address |
3312 Clinton Pkwy Lawrence KS 66047-3624 |
| Practice Telephone | 6202315401 |
| Practice Fax Number | 6202311178 |
| Mailing Telephone | 7858414138 |
| Mailing Fax Number | 7858415777 |
| Enumeration Date | 2007-06-13 |
| 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 Pittsburg | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
503 N WALNUT ST |
| City | PITTSBURG |
| State | KS |
| Zip Code | 66762-3823 |
| 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 |
| Find all providers in zip 66762 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DCCCA, INC..
| 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.