CHARLETTE BOWENS KISSI AFAR – Mental Health Counselor, NPI 1487146601

CHARLETTE BOWENS KISSI AFAR is a healthcare provider. based in Norfolk, Nebraska. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for CHARLETTE BOWENS KISSI AFAR is 1487146601

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
CHARLETTE BOWENS KISSI AFAR
NPI
1487146601
Phone
(402) 379-2030
Address
333 W NORFOLK AVE STE 201
Enumeration Date
4 June 2018
Last Update Date
11 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024943337112
Graduation Year
2018 (8 years ago)
PAC ID
6002265287
Group Practice PAC ID
0749262509
Professional Enrollment ID
I20231213001918
Address ID
NE687762421SO1201XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:8State licenses:0Digital endpointsOther names

843 MENTAL HEALTH COUNSELOR in NE

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Provider Addresses for CHARLETTE BOWENS KISSI AFAR

  • 201, West Norfolk Avenue, Mackels Mobile Home Court, Norfolk, Madison County, Nebraska, 68701, United States

    NORFOLK, NE 687015221

    Phone: (402) 379-2030

    Fax: (402) 379-3933

    Type: Mailing

  • PO BOX 355

    SOUTH SIOUX CITY, NE 687760355

    Phone: (402) 494-3337

    Fax: (402) 379-3933

    Type: Mailing

  • 1201 ARBOR DR

    SOUTH SIOUX CITY, NE 68776

    Phone: (402) 494-3337

    Fax: (402) 494-3356

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231213001918IMental Health CounselorNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749262509View full group profile
NameSpecialtyState
Nurse Practitioner, Certified Clinical Nurse Specialist (Cns)IA
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorIA
Mental Health CounselorNE
Mental Health CounselorNE
-NE
-NE

Reviews

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Frequently asked questions

Does CHARLETTE BOWENS KISSI AFAR share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CHARLETTE BOWENS KISSI AFAR uses 1487146601.
Does CMS list CHARLETTE BOWENS KISSI AFAR as active?
Yes — CHARLETTE BOWENS KISSI AFAR is active in the NPI listing used on this page.
What is CHARLETTE BOWENS KISSI AFAR's primary classification?
Mental Health Counselor is the headline specialty for CHARLETTE BOWENS KISSI AFAR here. Clinical services aligned with this taxonomy classification.
Where should I expect CHARLETTE BOWENS KISSI AFAR on a map?
Expect Norfolk, Nebraska as a primary anchor for CHARLETTE BOWENS KISSI AFAR unless the record lists multiple sites.
Why does CHARLETTE BOWENS KISSI AFAR have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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