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DCCCA, INC
NPI 1639044365
Clinic/Center - Rehabilitation, Substance Use Disorder in Mission, KS

Active since October 10, 2025
6950 SQUIBB RD STE 400, MISSION, KS 66202(785) 841-4138 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About DCCCA, INC

This page provides the complete NPI Profile along with additional information for Dccca, Inc, a provider established in Mission, Kansas operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1639044365 assigned on October 2025. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Kerye J Jackson Cpa, Cma (Cfo)

NPI
1639044365 Verify this NPI
Provider Name
DCCCA, INC
Entity Type
Organization
Location Address
6950 SQUIBB RD STE 400 MISSION, KS 66202
Location Phone
(785) 841-4138
Mailing Address
3312 CLINTON PKWY LAWRENCE, KS 66047
Mailing Phone
(785) 841-4138
Mailing Fax
(785) 841-5777
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2025
Last Update Date
10-10-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KERYE J JACKSON CPA, CMA

Authorized Official Title
CFO
Authorized Official Phone
(785) 841-4138

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Frequently Asked Questions

What is DCCCA, INC's NPI number?

The NPI number assigned to this healthcare provider is 1639044365, enumerated as an "organization" on October 10, 2025.

Where is the provider located?

The provider is located at 6950 SQUIBB RD STE 400 MISSION, KS 66202 and the phone number is (785) 841-4138.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.