Dallas VA Medical Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

DALLAS VA MEDICAL CENTER

Practice address

4500 S Lancaster Rd
Dallas, TX 75216-7167

Phone

(323) 327-7618

NPI assigned

Sep 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kabaka Wamukuta Pokossa, MASTERS OF SCINECE

Title

Addiction Therapist

Phone

(214) 857-0837

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447354980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "323-327-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "323-327-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POKOSSA",
        "authorized_official_first_name": "KABAKA",
        "authorized_official_middle_name": "WAMUKUTA",
        "authorized_official_title_or_position": "ADDICTION THERAPIST",
        "authorized_official_telephone_number": "214-857-0837",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MASTERS OF SCINECE"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Therapy Collective, PLLC
• Dallas Therapy Group PLLC
• Dallas VA Medical Center
• Dallas VA Medical Center
• Dallas VA Medical Center
• Dallas VA Medical Center
• Dallas VA Medical Center
• Dallas VA Medical Center
• Dallas Vamc
• Dallas Vamc

• Addiction (Substance Use Disorder) Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.