MS. SHERESE DANIELLE EZELLE
NPI 1962708610
Counselor - Professional in Auburn, WA

Active since January 27, 2011PECOS Enrolled
702 37TH ST SE APT B, AUBURN, WA 98002(971) 770-0724 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2025, Nov 25, 2023, May 17, 2021 and 1 more (4 updates tracked since 2020).

About Ms. Sherese Danielle Ezelle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHERESE DANIELLE EZELLE (NPI 1962708610) is an individual professional provider in Auburn, Washington, licensed in Washington (LH60664607) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1962708610
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. SHERESE DANIELLE EZELLE
Location Address702 37TH ST SE APT BAuburn, WA 98002-8062
Mailing Address702 37th St Se Apt BAuburn, WA 98002-8062 · (206) 331-9746
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 27, 2011
Last NPPES UpdateNovember 11, 20254 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
NPI 1962708610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WA · LH60664607
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0701010389 (VA), LPC.0017039 (CO)
702 37TH ST SE APT B, Auburn, WA 98002

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Sherese Danielle Ezelle is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749778256
PECOS Enrollment IDI20251024002201
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
702 37TH ST SE APT B
AUBURN, WA 98002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sherese Ezelle's NPI number?

The NPI number for Sherese Ezelle is 1962708610. It was assigned to this individual provider in the NPPES registry on January 27, 2011.

Where is Sherese Ezelle located?

Sherese Ezelle practices at 702 37th St SE Apt B, Auburn, WA 98002. The listed phone number is (971) 770-0724.

What is Sherese Ezelle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Sherese Ezelle enrolled in Medicare?

Yes. Sherese Ezelle is registered in the Medicare PECOS enrollment system.

What insurance does Sherese Ezelle accept?

Health plans from Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and WellPoint list Sherese Ezelle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sherese Ezelle was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.