CHARLETTE BOWENS KISSI AFAR
NPI 1487146601
Counselor - Mental Health in South Sioux City, NE

Active since June 04, 2018PECOS EnrolledAccepts Medicare Assignment
1201 ARBOR DR, SOUTH SIOUX CITY, NE 68776(402) 494-3337(402) 494-3356 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 11, 2023, Mar 30, 2023, May 30, 2019 (3 updates tracked since 2019).

About Charlette Bowens Kissi Afar NPPES

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

CHARLETTE BOWENS KISSI AFAR (NPI 1487146601) is an individual mental health provider in South Sioux City, Nebraska and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1487146601
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHARLETTE BOWENS KISSI AFAR
Location Address1201 ARBOR DRSouth Sioux City, NE 68776
Mailing AddressPo Box 355South Sioux City, NE 68776-0355 · (402) 494-3337 · Fax (402) 379-3933
Fax(402) 494-3356
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 4, 2018
Last NPPES UpdateApril 11, 20233 updates tracked since enumeration
NPPES CertifiedApril 5, 2023
✔ NPI 1487146601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1201 ARBOR DR, South Sioux City, NE 68776

Other Names 1

Other Name (5)Charlette Bowens Kissi Afare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charlette Bowens Kissi Afar is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002265287
PECOS Enrollment IDI20231213001918
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.

Medicare Billing Reassignment

Medicare enrollment records show Charlette Bowens Kissi Afar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1201 ARBOR DR
South Sioux City, NE 68776
  • Reassigned Medicare billing, Nebraska enrollment
  • 27 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Counselor
1201 ARBOR DR
SOUTH SIOUX CITY, NE 68776
Counselor (Mental Health)
1201 ARBOR DR
SOUTH SIOUX CITY, NE 68776
Community Health Worker
1201 ARBOR DR
SOUTH SIOUX CITY, NE 68776
Community Health Worker
1201 ARBOR DR
SOUTH SIOUX CITY, NE 68776
Community/Behavioral Health
1201 ARBOR DR
SOUTH SIOUX CITY, NE 68776
Registered Nurse
1201 ARBOR DR
SOUTH SIOUX CITY, NE 68776
Counselor (Mental Health)
1201 ARBOR DR
SOUTH SIOUX CITY, NE 68776
Counselor (Mental Health)
1201 ARBOR DR
SOUTH SIOUX CITY, NE 68776

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 Charlette Bowens Kissi Afar's NPI number?

The NPI number for Charlette Bowens Kissi Afar is 1487146601. It was assigned to this individual provider in the NPPES registry on June 4, 2018. The provider is also known as Charlette Bowens Kissi Afare.

Where is Charlette Bowens Kissi Afar located?

Charlette Bowens Kissi Afar practices at 1201 Arbor Dr, South Sioux City, NE 68776. The listed phone number is (402) 494-3337.

What is Charlette Bowens Kissi Afar's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Charlette Bowens Kissi Afar enrolled in Medicare?

Yes. Charlette Bowens Kissi Afar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Charlette Bowens Kissi Afar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charlette Bowens Kissi Afar reassigns Medicare benefits to Heartland Counseling Services, Inc. (South Sioux City, NE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charlette Bowens Kissi Afar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charlette Bowens Kissi Afar was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.