Active NPI
Veterans Room
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1821793886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- VETERANS ROOM
- Practice address
- 1910 Pacific Ave Ste 20001165
Dallas, TX 75201-4529 - Phone
- (973) 283-5269
- NPI assigned
- Mar 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chibunna Chimezie
- Title
- Officer
- Phone
- (973) 283-5269
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1910 Pacific Ave Ste 20001165
Dallas, TX 75201-4529
Mailing address
302 Millburn Ave
Millburn, NJ 07041-1621
National Provider Directory
National Provider DirectoryLocations
302 Millburn Ave
Millburn, NJ 07041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761091200000",
"number": "1821793886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 MILLBURN AVE",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070411621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 PACIFIC AVE STE 20001165",
"city": "DALLAS",
"state": "TX",
"postal_code": "752014529",
"telephone_number": "973-283-5269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VETERANS ROOM",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-31",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A",
"authorized_official_last_name": "CHIMEZIE",
"authorized_official_first_name": "CHIBUNNA",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "973-283-5269"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Christopher J Vesy, M.D.
- Veterans Administration
- Veterans Affairs Hospital
- Veterans Affairs North Texas Health Care System
- Veterans Affairs North Texas Health Care System (VA)
- Oommen Cherian Vettiyil
- Veurmer L. Clark OD
- Maureen Elizabeth Veysset, FNP
- Via Care Home Health Services LLC
- Via Nova Counseling and Consulting, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.