Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AFFECT THERAPEUTICS, INC.
NPI 1033857453
Counselor - Mental Health in Nampa, ID

Active since May 25, 2022CLIA Certified · 13 labs
1217 3RD ST S STE 109, NAMPA, ID 83651(845) 769-8758 Get Directions Write a Review

NPPES record last updated: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 6, 2026, Aug 14, 2025, May 25, 2022 (3 updates tracked since 2022).

About Affect Therapeutics, Inc. NPPES

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

AFFECT THERAPEUTICS, INC. (NPI 1033857453) is a healthcare organization registered as a mental health in Nampa, Idaho and active in the NPI registry since May 2022. The organization holds 13 active CLIA laboratory certificates and lists Karla Renee Mullings, Director Clinical Compliance, as its authorized official.

NPPES Registry Identity

NPI1033857453
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameAFFECT THERAPEUTICS, INC.
Location Address1217 3RD ST S STE 109Nampa, ID 83651-3917
Mailing AddressPo Box 96634Phoenix, AZ 85072-6634
Organization SubpartNo
Authorized OfficialKarla Renee MullingsDirector Clinical Compliance · (323) 522-2218
Enumeration DateMay 25, 2022
Last NPPES UpdateNovember 6, 20263 updates tracked since enumeration
NPPES CertifiedNovember 6, 2026
✔ NPI 1033857453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
1217 3RD ST S STE 109, Nampa, ID 83651

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Affect Therapeutics, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Affect Therapeutics, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1043648140
2300 W SAHARA AVE STE 800
Las Vegas, NV 89102
(203) 666-8145
✔ PECOS518 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 13

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2268362

Affect Therapeutics, Inc · Jacksonville, FL
Active · expires Sep 8, 2028
CLIA Number10D2268362
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateSeptember 9, 2026
Certificate Expiration DateSeptember 8, 2028
Laboratory DirectorAllison A. Carter
Laboratory Phone(845) 769-8758
Laboratory LocationAffect Therapeutics, Inc6282-1 Dupont Station Ct - Office A, Jacksonville, FL 32217
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2258457

Affect Therapeutics Inc · Indianapolis, IN
Active · expires Apr 20, 2028
CLIA Number15D2258457
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateApril 21, 2026
Certificate Expiration DateApril 20, 2028
Laboratory DirectorAllison Carter
Laboratory Phone(845) 769-8758
Laboratory LocationAffect Therapeutics Inc863 Massachusetts Ave, Office 220, Indianapolis, IN 46206
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2276741

Affect Therapeutics Inc · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2276741
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateFebruary 14, 2023
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJon Peeples
Laboratory Phone(845) 769-8758
Laboratory LocationAffect Therapeutics Inc1112 Daniels St Bsmt Ste, Vancouver, WA 98660
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2286423

Affect Therapeutics, Inc · Geneva, IL
Active · expires Jul 27, 2027
CLIA Number14D2286423
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorRobert Glenn
Laboratory Phone(845) 769-8758
Laboratory LocationAffect Therapeutics, Inc127 S First St - Ste 205, Geneva, IL 60134
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2229775

Affect Therapeutics, Inc · Danville, KY
Active · expires Jul 15, 2027
CLIA Number18D2229775
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorMs. Allison Carter
Laboratory Phone(845) 769-8758
Laboratory LocationAffect Therapeutics, Inc116 N 3rd St, Suite 3, Danville, KY 40422
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D2261583

Affect Therapeutics, Inc · Henderson, NV
Active · expires Jul 11, 2027
CLIA Number29D2261583
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorBryan Lankford
Laboratory Phone(845) 769-8758
Laboratory LocationAffect Therapeutics, Inc1397 Galleria Dr Suite 203, Henderson, NV 89014
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Affect Therapeutics, Inc.'s NPI number?

The NPI number for Affect Therapeutics, Inc. is 1033857453. It was assigned to this organization in the NPPES registry on May 25, 2022.

Where is Affect Therapeutics, Inc. located?

Affect Therapeutics, Inc. is located at 1217 3rd St S Ste 109, Nampa, ID 83651. The listed phone number is (845) 769-8758.

What is Affect Therapeutics, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Affect Therapeutics, Inc. enrolled in Medicare?

Yes. Affect Therapeutics, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Affect Therapeutics, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Affect Therapeutics, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Affect Therapeutics, Inc. hold CLIA laboratory certificates?

Yes. 13 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Affect Therapeutics, Inc. was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.