Affect Provider Group P.S.C.
Organization Active NPI Mental Health Counselor · Archdale, NC
NPI 1801788286 · NPPES record last updated Aug 14, 2026
Key facts
- NPI
- 1801788286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- AFFECT PROVIDER GROUP P.S.C.
- Practice address
- 313C Trindale Rd Ste 205
Archdale, NC 27263-2751 - Phone
- (845) 769-8758
- NPI assigned
- Jul 18, 2025
- Organization subpart
- No
Authorized official
- Name
- Karla Renee Mullings
- Title
- Director of Compliance
- Phone
- (845) 768-8758
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 22
Practitioners 1
-
Jane Schwarting, APRN, PMHNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240507001406 | NC | Part B Supplier - Clinic/Group Practice | 5597105684 |
Receives reassigned benefits from 2 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Archdale, NC |
National Provider Directory
- Tax ID family
- Affect
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes | ||
| Clinical Psychologist |
103TC0700X | |||
| Clinical Social Worker |
1041C0700X | |||
| Adult Psychiatric/Mental Health Clinical Nurse Specialist |
364SP0809X |
Addresses
Primary practice location
313C Trindale Rd Ste 205
Archdale, NC 27263-2751
Mailing address
PO Box 96635
Phoenix, AZ 85072-6635
Phone (845) 769-8758
Other providers in Archdale, NC
- 625 Ashland Street Opco LLC
- Above & Beyond Community Services
- Charles R. Absher10
- Jenny Anne Addison
- Barton Adkins
- Affect Provider Group, P.S.C.
- Agape & Harmony Enrichment Center LLC
- Archdale Drug Co Inc
- Archdale Family Practice PA
- Tracy W Barber
All providers in Archdale, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 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.