Individual provider Active NPI

Shagayla L. Decena, LPC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1053955807
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
76538 Issued in TX
Practice address
915 Brookmere Dr
Dallas, TX 75216-6128
Phone
(214) 932-7049
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 76538 TX Primary

Addresses

Primary practice location

915 Brookmere Dr
Dallas, TX 75216-6128

Mailing address

2109 Cannon Dr
Mansfield, TX 76063-3478
Phone (214) 697-7518

Other practice location 1

800 Kirnwood Dr
DeSoto, TX 75115-2000
Phone (972) 982-0932

Other names 1

  • Shagayla L. Decena Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240722000494 TX Practitioner - Mental Health Counselor 6103362645 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health and Veterans Counseling CurrentSince Jan 11, 2025 Accepting new patients
Hamilton Counseling and Consulting, PLLC Professional CurrentSince May 10, 2024 Accepting new patients

Locations

777 E Wheatland Rd
Ste 101
Duncanville, TX 75116
Phone (972) 283-5103

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1053955807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 CANNON DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633478",
            "telephone_number": "214-697-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 BROOKMERE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752166128",
            "telephone_number": "214-932-7049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Kirnwood Dr",
            "address_purpose": "LOCATION",
            "city": "DeSoto",
            "state": "TX",
            "postal_code": "751152000",
            "country_code": "US",
            "telephone_number": "972-982-0932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECENA",
        "first_name": "SHAGAYLA",
        "middle_name": "L.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2023-12-15",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAGAYLA",
            "last_name": "DECENA",
            "middle_name": "L.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.