DCCCA, INC. (NPI# 1952505935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952505935 |
| Entity Type | Organization |
| Organization Name | DCCCA, INC. |
| Other Organization Name | DCCCA EL DORADO OUTPATIENT |
| 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 | 2007-06-13 |
| 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 | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
KS | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DCCCA El Dorado Outpatient | 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 |
| 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 |
| 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 |
| 1760675706 | Dccca, Inc | Community/Behavioral Health | 119 Jones St, El Dorado, KS 67042-1469 | 2007-08-23 |
| 1811180896 | Sandra J Kelliher | Marriage & Family Therapist | 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 | 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 |
|---|---|---|---|---|
| 1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
| 1154575405 | South Arkansas Regional Heatlh Center | Clinic/Center | 710 W Grove St, El Dorado, AR 71730-4416 | 2008-11-13 |
| 1669686739 | South Arkansas Regional Health Center Benchmark | Clinic/Center | 1812 Lorene St, El Dorado, AR 71730-8129 | 2007-05-09 |
| 1558515775 | South Arkansas Regional Health Center Crossroads | Clinic/Center | 710 W Grove St, El Dorado, AR 71730-4416 | 2008-11-14 |
| 1992919047 | South Arkansas Regional Health Center, Community Support Program | Clinic/Center | 715 N College Ave, El Dorado, AR 71730-4403 | 2007-05-09 |
| 1679787758 | South Arkansas Regional Health Center Hope House | Clinic/Center | 715 N College Ave, El Dorado, AR 71730-4403 | 2007-05-09 |
| 1538282876 | South Arkansas Regional Health Center Psy Grp | Clinic/Center | 715 N College Ave, El Dorado, AR 71730-4403 | 2007-04-10 |
| 1467423384 | South Arkansas Regional Health Center | Clinic/Center | 715 N College Ave, El Dorado, AR 71730-4403 | 2006-01-30 |
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| 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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| 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.