Affect Provider Group, P.S.C.
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Lincoln, NE
NPI 1023889052 · NPPES record last updated Aug 13, 2026
Key facts
- NPI
- 1023889052
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- AFFECT PROVIDER GROUP, P.S.C.
- Practice address
- 233 S 13TH St Ste 1900
Lincoln, NE 68508-2000 - Phone
- (845) 769-8758
- NPI assigned
- Jan 9, 2024
- Organization subpart
- No
Authorized official
- Name
- Karla Renee Mullings
- Title
- Director of Compliance
- Phone
- (845) 768-8758
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 22
Practitioners 11
-
Seema Antony, ARNP
-
Virginia Fischer, APRN, PMHNP-BC, FNP
-
Scott G. Kixmiller, MSW, LCSW, LCAS, CCS
-
Jane Schwarting, APRN, PMHNP
-
Holly Marie Porter, LADC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260313002816 | NE | Part B Supplier - Clinic/Group Practice | 5597105684 |
Receives reassigned benefits from 1 practitioner Practice locations: Lincoln, NE |
National Provider Directory
- Tax ID family
- Affect
Locations
313 Trindale Rd
Ste C205
Archdale, NC 27263
Phone (206) 665-4051
233 S 13th St
Ste 1111
Lincoln, NE 68508
1501 Main St
Ofc 532
Columbia, SC 29201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
233 S 13TH St Ste 1900
Lincoln, NE 68508-2000
Mailing address
PO Box 96635
Phoenix, AZ 85072-6635
Phone (845) 769-8758
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All providers in Lincoln, NE · Substance Use Disorder Rehabilitation Clinic/Center in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.