Active NPI
Charis Estelle Alderfer-Mumma, ATR-BC, LPC, LMHC
- Mental Health Counselor
- Pullman, WA
National Provider Identifier
1215041017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60172323
- Practice address
- 340 NE Maple
Pullman, WA 99163 - Phone
- (509) 334-1133
- Fax
- (509) 332-1608
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC004669 | PA | |
| Mental Health Counselor | 101YM0800X | LH60172323 | WA | Primary |
Addresses
Primary practice location
340 NE Maple
Pullman, WA 99163
Mailing address
340 NE Maple
Pullman, WA 99163
Phone (509) 334-1133
Other names 1
- Charis Estelle Alderfer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 2, 2024 through Apr 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60172323 | WA | MD | Mental Health Counselor |
| PC004669 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cultivation, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Coeur D'Alene, ID
- NPI 1124466990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405641600000",
"number": "1215041017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 NE MAPLE",
"city": "PULLMAN",
"state": "WA",
"postal_code": "99163",
"telephone_number": "509-334-1133",
"fax_number": "509-332-1608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 NE MAPLE",
"city": "PULLMAN",
"state": "WA",
"postal_code": "99163",
"telephone_number": "509-334-1133",
"fax_number": "509-332-1608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDERFER-MUMMA",
"first_name": "CHARIS",
"middle_name": "ESTELLE",
"credential": "ATR-BC, LPC, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2014-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC004669",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60172323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHARIS",
"last_name": "ALDERFER",
"middle_name": "ESTELLE",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pullman, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.