Sheresa Michelle Dagley, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

85081 Issued in TX

Practice address

1835 E Southlake Blvd
Southlake, TX 76092-6501

Phone

(817) 769-7687

NPI assigned

Sep 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sheresa Michelle Sequin Dagley Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Your Next Chapter Counseling Co

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cedar Hill, TX
  • NPI 1770446007
  NPD Authorized official

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1124742747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 ELLIOTT DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751049272",
            "telephone_number": "832-466-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 E SOUTHLAKE BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926501",
            "telephone_number": "817-769-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGLEY",
        "first_name": "SHERESA",
        "middle_name": "MICHELLE",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "85081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERESA",
            "last_name": "SEQUIN DAGLEY",
            "middle_name": "MICHELLE",
            "credential": "MS, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Maryellen Dabal, LMFT
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• Susette Damron
• Dana Lewin Counseling, PLLC

• All providers in Southlake, TX
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.