Tise Afuola, AA, SUDPT
Peer Specialist in Longview, WA. Individual provider (NPI-1).
NPI number1992391742
StatusActive
Last updated in NPPESMar 31, 2026
Details
- NPI
- 1992391742
- Entity type
- Individual (NPI-1)
- Name
- Tise Afuola
- Credential
- AA, SUDPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2020
- Certification date
- Mar 31, 2026
- Last updated
- Mar 31, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | PR70152743 | WA | Yes |
| 175T00000X | Peer Specialist | CG61158364 | WA |
Practice location
748 14th AveLongview, WA 98632-2315
Phone 360-200-5419 · Fax 360-200-6736
Mailing address
Po Box 2394Longview, WA 98632-8455
Phone 360-200-5419 · Fax 360-200-6736
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 108 Peer Specialist providers in Longview · All 2,229 providers in Longview
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