Sherese Danielle Ezelle

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LH60664607 Issued in WA

Practice address

702 37TH St SE Apt B
Auburn, WA 98002-8062

Phone

(971) 770-0724

NPI assigned

Jan 27, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sherese.ezelle.p1@direct.sokya.nextgenshare.com

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.

• Lightheart Associates PS

  • Psychologist
  • Redmond, WA
  • NPI 1609221720

  Professional

  Medicare reassignment NPD
• Therapy With Sherese Danielle, LLC

  • Community/Behavioral Health Agency
  • Auburn, WA
  • NPI 1700652336
  NPD Authorized official
• Dr. Kathleen Worsley

  • Counseling Psychologist
  • Redmond, WA
  • NPI 1619484821
  NPD (past)
• Sunrise Services, Inc.

  • Community/Behavioral Health Agency
  • Everett, WA
  • NPI 1013092550
  NPD (past)

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1962708610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 37TH ST SE APT B",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980028062",
            "telephone_number": "206-331-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 37TH ST SE APT B",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980028062",
            "telephone_number": "971-770-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZELLE",
        "first_name": "SHERESE",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-27",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701010389",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH60664607",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0017039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Eye Center, PLLC
• Evergreen Psychiatry PLLC
• Evergreen Washington Healthcare Auburn, L.L.C.
• Kelsey Joan Evins, ATC
• Extendicare North Auburn Rehabilitation
• Vinesa Faaogea-Kabui
• Emily Faber
• Sarah Faison
• Faith House Afh LLC
• Leslie Marie Falch, PA-C

• Professional Counselor in Auburn, WA
• Providers in Auburn, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.