Affect Therapeutics Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

AFFECT THERAPEUTICS INC

Doing business as

Affect Therapeutics

Practice address

1001 Research Park Blvd Ste 100
Charlottesville, VA 22911-5848

Phone

(845) 769-8758

NPI assigned

Mar 22, 2021

Last updated

Aug 20, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karla Renee Mullings, CADC LLL

Title

Director of Compliance

Phone

(323) 522-2218

Specialties & licenses 11

Addresses

Other names 1

• Affect Therapeutics Doing business as

Medicare fee-for-service enrollment

Enrolled in TX, AZ, TN, IL, FL, NV, DC, WA, OH, CA, MO, IN, OR13 enrollments

Enrollment records 13

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Affect Therapeutics Inc

  • Adult Mental Health Clinic/Center
  • King City, OR
  • NPI 1780489468

  4284071903

  Same PAC ID
• Affect Therapeutics, Inc.

  • Mental Health Counselor
  • Nampa, ID
  • NPI 1033857453

  4284071903

  Same PAC ID
• Affect Therapeutics, Inc.

  • Adult Mental Health Clinic/Center
  • Albuquerque, NM
  • NPI 1942948351

  4284071903

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Affect Therapeutics Inc

  • Adult Mental Health Clinic/Center
  • King City, OR
  • NPI 1780489468

  O20260325000637

  Same enrollment
• Affect Therapeutics, Inc.

  • Adult Mental Health Clinic/Center
  • Athens, OH
  • NPI 1528878832

  O20241002001787

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia Awadzi, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Manassas, VA
  • NPI 1164994000

  DC

  Medicare reassignment NPD
• Jennifer Gardner, LPC, NCC

  • Counselor
  • Springfield, VA
  • NPI 1649045907

  DC

  Medicare reassignment NPD
• Jennifer Anne Alexander, FNP PMHNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1336775519

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Andrietta Wright Barnett, DNP FNP-C PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1043648140

  AZ, CA, OH

  Medicare reassignment NPD
• Miranda Ann Bergman, LPCC, CADC

  • Professional Counselor
  • Erlanger, KY
  • NPI 1942627500

  Addiction (Substance Use Disorder), DC, MO

  Medicare reassignment NPD
• Lynn Marie Brown, LSW

  • Social Worker
  • Chillicothe, OH
  • NPI 1124598776
  Medicare reassignment NPD
• Techa Bryant

  • Family Nurse Practitioner
  • Deer Park, TX
  • NPI 1801666243

  AZ, Psychiatric/Mental Health

  Medicare reassignment NPD
• Tia Denise Carrington, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
  • NPI 1982135943
  Medicare reassignment NPD
• Allison Carter, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cincinnati, OH
  • NPI 1134599269
  Medicare reassignment NPD
• Tracey Lynn Checo, CADCI

  • Addiction (Substance Use Disorder) Counselor
  • N Las Vegas, NV
  • NPI 1942566914
  Medicare reassignment NPD
• Persia Coleman

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1861825341

  Registered Nurse

  Medicare reassignment NPD
• Anne Wayson Dalton, MSN, CRNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sparks, MD
  • NPI 1558077891

  DC

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1104402064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96634",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850726634",
            "telephone_number": "845-769-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 RESEARCH PARK BLVD STE 100",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229115848",
            "telephone_number": "845-769-8758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1112 Daniels St Bsmt Suite",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986602954",
            "country_code": "US",
            "telephone_number": "845-769-8758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1397 Galleria Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890146659",
            "country_code": "US",
            "telephone_number": "845-769-8758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3550 Watt Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958212666",
            "country_code": "US",
            "telephone_number": "845-769-8758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Paluxy Dr Ste 404",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757031617",
            "country_code": "US",
            "telephone_number": "845-769-8758",
            "fax_number": "202-964-6533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15405 SW 116th Ave Ste 124",
            "address_purpose": "LOCATION",
            "city": "King City",
            "state": "OR",
            "postal_code": "972244103",
            "country_code": "US",
            "telephone_number": "845-769-8758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6282 DuPont Station Ct E Ofc A",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322172515",
            "country_code": "US",
            "telephone_number": "845-769-8758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "863 Massachusetts Ave Ofc 220",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462041610",
            "country_code": "US",
            "telephone_number": "845-769-8758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "507 Richland Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457013700",
            "country_code": "US",
            "telephone_number": "845-769-8758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8880 E Speedway Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857101712",
            "country_code": "US",
            "telephone_number": "845-769-8758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13975 Manchester Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ballwin",
            "state": "MO",
            "postal_code": "630114500",
            "country_code": "US",
            "telephone_number": "845-769-8758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AFFECT THERAPEUTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "MULLINGS",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "323-522-2218",
        "authorized_official_credential": "CADC LLL"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affect Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.