Charissa Dageford

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1205 Issued in NE

Practice address

420 Victory Park Dr
Lincoln, NE 68510-2484

Phone

(402) 489-3802

NPI assigned

Apr 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Charissa Tvrdy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Omaha Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Lincoln, NE
  • NPI 1356399372
  NPD
• Thinktrek LLC

  • Professional Counselor
  • Ruston, LA
  • NPI 1215415229
  NPD (past)

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1801358460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 VICTORY PARK DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102484",
            "telephone_number": "402-489-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 VICTORY PARK DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102484",
            "telephone_number": "402-489-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGEFORD",
        "first_name": "CHARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARISSA",
            "last_name": "TVRDY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsey Jordan Daberkow, OD
• Patricia Ann Daberkow, MS-CCC/SLP
• Sarah Dabney, LIMHP
• Rebecca L Dacus, LMHP, PC
• Elijah Dacy
• Teresa Lee Dageforde, LPN
• Mue Tha Dah
• Samantha F Daharsh
• Annie James Dahir
• Jordan M Dahl

• Psychologist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.