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TISE AFUOLA AA, SUDPT
NPI 1992391742
Peer Specialist in Longview, WA

Active since December 16, 2020
748 14TH AVE, LONGVIEW, WA 98632(360) 200-5419(360) 200-6736 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2026, Dec 16, 2020 (2 updates tracked since 2020).

About Tise Afuola Aa, Sudpt NPPES

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

TISE AFUOLA AA, SUDPT (NPI 1992391742) is an individual peer specialist in Longview, Washington, licensed in Washington (PR70152743) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1992391742
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTISE AFUOLACredential: AA, SUDPT
Location Address748 14TH AVELongview, WA 98632-2315
Mailing AddressPo Box 2394Longview, WA 98632-8455 · (360) 200-5419 · Fax (360) 200-6736
Phone(360) 200-5419
Fax(360) 200-6736
Sole ProprietorNo
Enumeration DateDecember 16, 2020
Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1992391742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Licenses✔ Licensed in WA · PR70152743✔ Licensed in WA · CG61158364
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
748 14TH AVE, Longview, WA 98632
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Other Identifiers 1

Medicaid2168939WA

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.

MARENA BERISHEV
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
RACHEL A GAINES SUDP
Counselor (Addiction (Substance Use Disorder))
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
CASSIDY JOHNSTON
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
MISTY DAWN REED AAC, CPC
Peer Specialist
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
KAYLEE MOE CPC
Peer Specialist
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
MS. KIMBERLEE MARIE SEALS SUDPT, AAC
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
AMANDA M KERSTETER MC, LMHC, MHP, CMHS
Counselor (Mental Health)
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
BALENDA J FRIEZE
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419

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 Tise Afuola's NPI number?

The NPI number for Tise Afuola is 1992391742. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Where is Tise Afuola located?

Tise Afuola practices at 748 14th Ave, Longview, WA 98632. The listed phone number is (360) 200-5419.

What is Tise Afuola's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Tise Afuola was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.