Katherine Ann Afuola, MS,LMHC,MHP,NCC,SUDP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61256941 Issued in WA

Practice address

1126 S. Gold Street
Centralia, WA 98531

Phone

(360) 807-4929

Fax

(360) 807-4160

NPI assigned

Jan 24, 2018

Last updated

Oct 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Core HealthGroup PAC ID 0941631469, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Core Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longview, WA
  • NPI 1639693781
  Medicare reassignment Care Compare group NPD
• Annette Jadlyn Ramos, PH. D.

  • Clinical Child & Adolescent Psychologist
  • Aibonito, PR
  • NPI 1538362785

  WA

  Medicare reassignment
• Community House on Broadway

  • Case Management Agency
  • Longview, WA
  • NPI 1013575588
  NPD (past)

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1396243473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2394",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-200-5419",
            "fax_number": "360-200-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 S. GOLD STREET",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "98531",
            "telephone_number": "360-807-4929",
            "fax_number": "360-807-4160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "748 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322315",
            "country_code": "US",
            "telephone_number": "360-353-5781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91 A Home CT",
            "address_2": "A",
            "address_purpose": "LOCATION",
            "city": "Kelso",
            "state": "WA",
            "postal_code": "98626",
            "country_code": "US",
            "telephone_number": "360-353-1647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986323830",
            "country_code": "US",
            "telephone_number": "360-353-5781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AFUOLA",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "MS,LMHC,MHP,NCC,SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60195249",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60851768",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61256941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2140261",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Adams, RN
• Tommy Dale Adkins
• Advanced Mobility Repair
• Advanced Rehabilitation Specialties Inc.
• Advanced Rehabilitation, Inc
• Arinze Paul Agbapuru, PHARMACIST
• Nikitasha Aggarwal, DO
• Hardik Ajudia
• Tevin Maurice Akin
• Rex William Akins Sr.

• Mental Health Counselor in Centralia, WA
• Providers in Centralia, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.