Charlette Bowens Kissi Afar

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1201 Arbor Dr
South Sioux City, NE 68776

Phone

(402) 494-3337

Fax

(402) 494-3356

NPI assigned

Jun 4, 2018

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

• Charlette Bowens Kissi Afare Other name

Medicare fee-for-service enrollment

Enrolled in NE

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heartland Counseling Services, Inc.Group PAC ID 0749262509, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Heartland Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • South Sioux City, NE
  • NPI 1033292784
  Medicare reassignment Care Compare group NPD
• Heartland Counseling Services.Inc.

  • Community/Behavioral Health Agency
  • Wayne, NE
  • NPI 1306049424
  NPD

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1487146601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687760355",
            "telephone_number": "402-494-3337",
            "fax_number": "402-379-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ARBOR DR",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "68776",
            "telephone_number": "402-494-3337",
            "fax_number": "402-494-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWENS KISSI AFAR",
        "first_name": "CHARLETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLETTE",
            "last_name": "BOWENS KISSI AFARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathleen Rose Blair, RN
• Laurie Ann Blakney
• Emily Bloomquist, B.S
• Samantha Bose
• Sara Boulware, ED.S., NCSP
• Boys and Girls Home of Nebraska, Inc.
• Holly Brainard
• Bryan James Braley
• Blair Brandes
• Lori Ann Bratetic, PMHNP

• Mental Health Counselor in South Sioux City, NE
• Providers in South Sioux City, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.