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AFFECT THERAPEUTICS INC
NPI 1104402064
Clinic/Center - Rehabilitation, Substance Use Disorder in Charlottesville, VA

Active since March 22, 2021CLIA Certified · 3 labs
1001 RESEARCH PARK BLVD STE 100, CHARLOTTESVILLE, VA 22911(845) 769-8758 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2026, Aug 13, 2026, Feb 19, 2025 and 6 more (9 updates tracked since 2021).

About Affect Therapeutics Inc NPPES

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

AFFECT THERAPEUTICS INC (NPI 1104402064), doing business as Affect Therapeutics, is a healthcare organization registered as a rehabilitation, substance use disorder in Charlottesville, Virginia and active in the NPI registry since March 2021. The organization holds 3 active CLIA laboratory certificates, maintains 10 additional practice locations, and lists Karla Renee Mullings, Director Of Compliance, as its authorized official.

NPPES Registry Identity

NPI1104402064
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameAFFECT THERAPEUTICS INC
Location Address1001 RESEARCH PARK BLVD STE 100Charlottesville, VA 22911-5848
Mailing AddressPo Box 96634Phoenix, AZ 85072-6634 · (845) 769-8758
Phone(845) 769-8758
Organization SubpartNo
Authorized OfficialKarla Renee MullingsDirector Of Compliance · (323) 522-2218
Enumeration DateMarch 22, 2021
Last NPPES UpdateAugust 20, 20269 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1104402064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
1001 RESEARCH PARK BLVD STE 100, Charlottesville, VA 22911
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Other Names 1

Doing Business AsAffect Therapeutics

Secondary Practice Locations 10

Location 11112 Daniels St Bsmt SuiteVancouver, WA 98660-2954 · Phone (845) 769-8758
Location 21397 Galleria Dr Ste 203Henderson, NV 89014-6659 · Phone (845) 769-8758
Location 33550 Watt Ave Ste 140Sacramento, CA 95821-2666 · Phone (845) 769-8758
Location 43800 Paluxy Dr Ste 404Tyler, TX 75703-1617 · Phone (845) 769-8758 · Fax (202) 964-6533
Location 515405 SW 116th Ave Ste 124King City, OR 97224-4103 · Phone (845) 769-8758
Location 66282 DuPont Station Ct E Ofc AJacksonville, FL 32217-2515 · Phone (845) 769-8758
Location 7863 Massachusetts Ave Ofc 220Indianapolis, IN 46204-1610 · Phone (845) 769-8758
Location 8507 Richland Ave Ste 105Athens, OH 45701-3700 · Phone (845) 769-8758
Location 98880 E Speedway Blvd Ste 203Tucson, AZ 85710-1712 · Phone (845) 769-8758
Location 1013975 Manchester Rd Ste 2Ballwin, MO 63011-4500 · Phone (845) 769-8758

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan, Ambetter from Meridian and more.Insurance ›

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

43

Medicare enrollment records show 43 clinicians reassign Medicare billing to Affect Therapeutics Inc, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner30
Mental Health Counselor7
Clinical Social Worker4
Marriage and Family Therapist1
Psychiatry1

Nearest to this location (20)

See all 43
Cynthia Awadzi, FNP
Nurse Practitioner
NPI 1164994000
7969 ASHTON AVE
Manassas, VA 20109
(703) 840-4705
✔ PECOS✔ Accepts Medicare66 mi
Jennifer Gardner, LPC, NCC
Mental Health Counselor
NPI 1649045907
8125 PARKDALE CT
Springfield, VA 22153
(703) 864-2005
✔ PECOS76 mi
Anne Dalton, MSN, CRNP, PMHNP-BC
Nurse Practitioner
NPI 1558077891
44 ENGLISH RUN TURN
Sparks, MD 21152
(202) 240-9282
✔ PECOS135 mi
Lynn Brown, LSW
Clinical Social Worker
NPI 1124598776
126 E 2ND ST
Chillicothe, OH 45601
(513) 834-7063
✔ PECOS259 mi
Jane Schwarting, APRN, PMHNP
Nurse Practitioner
NPI 1215304852
3825 MARKET ST STE 4
Wilmington, NC 28403
(910) 777-5575
✔ PECOS271 mi
Angela Jones
Nurse Practitioner
NPI 1881817617
100 HIGHVIEW BLVD
Columbus, OH 43207
(513) 941-4999
✔ PECOS273 mi
Tia Carrington, NP-C
Nurse Practitioner
NPI 1982135943
4889 SINCLAIR RD STE 104
Columbus, OH 43229
(740) 576-6821
✔ PECOS✔ Accepts Medicare279 mi
Mary Frey, FNP
Nurse Practitioner
NPI 1316226426
770 JASONWAY AVE SUITE 1B
Columbus, OH 43214
(614) 788-2730
✔ PECOS280 mi
Brandy Mckinney, CNP
Nurse Practitioner
NPI 1114232873
11925 PEARL RD STE 402
Strongsville, OH 44136
(440) 465-4203
✔ PECOS✔ Accepts Medicare284 mi
Tina Hacker, IMFT, LMFT, LICDC,
Marriage and Family Therapist
NPI 1235738741
31 HIDEAWAY DR
Covington, KY 41017
(859) 307-4540
✔ PECOS334 mi
Miranda Bergman, LPCC, CADC
Mental Health Counselor
NPI 1942627500
3309 DIXIE HWY
Erlanger, KY 41018
(859) 609-3893
✔ PECOS339 mi
Roberta Russo, CSW008127
Clinical Social Worker
NPI 1902572688
3911 MARY ELIZA TRCE NW STE 200
Marietta, GA 30064
(678) 631-9907
✔ PECOS452 mi
Justin Hampton, LCSW
Clinical Social Worker
NPI 1184001380
900 W TEMPLE AVE STE 208
Effingham, IL 62401
(217) 342-0211
✔ PECOS✔ Accepts Medicare551 mi
Alison Greenlee, LCSW
Clinical Social Worker
NPI 1629665559
726 FRIEDBERG DR S
Herculaneum, MO 63048
(636) 208-6758
✔ PECOS651 mi
Courtney Savard, LMHC
Mental Health Counselor
NPI 1326653460
11911 FIELD THISTLE CT
Riverview, FL 33579
(813) 597-7705
✔ PECOS748 mi
Linda Salvucci
Mental Health Counselor
NPI 1710515226
1530 W JASPER DR
Chandler, AZ 85224
(480) 206-3036
✔ PECOS1,898 mi
Tracey Checo, CADCI
Mental Health Counselor
NPI 1942566914
8316 SAN MATEO ST
N Las Vegas, NV 89085
(702) 205-5415
✔ PECOS2,018 mi
Jason Williamson
Mental Health Counselor
NPI 1649923905
222 TARRAGON WAY
Caldwell, ID 83605
(208) 310-9710
✔ PECOS2,018 mi
Lauren Grawert, MD
Psychiatry
NPI 1508093543
25745 BARTON RD STE 414
Loma Linda, CA 92354
(909) 567-2527
✔ PECOS✔ Accepts Medicare2,174 mi
Heather Youngs, LMHC
Mental Health Counselor
NPI 1922367812
1130 N NIMITZ HWY RM C301
Honolulu, HI 96817
(808) 845-7771
✔ PECOS4,773 mi
See all 43 clinicians

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 3

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 03D2233019

Affect Therapeutics, Inc · Tucson, AZ
Active · expires Aug 18, 2027
CLIA Number03D2233019
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorBryan M. Lankford
Laboratory Phone(513) 275-8678
Laboratory LocationAffect Therapeutics, Inc8880 E Speedway Blvd Ste 203, Tucson, AZ 85710
CLIA data matches this NPI record on: Address Name
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.

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 1104402064. It was assigned to this organization in the NPPES registry on March 22, 2021. The provider is doing business as Affect Therapeutics.

Where is Affect Therapeutics Inc located?

Affect Therapeutics Inc is located at 1001 Research Park Blvd Ste 100, Charlottesville, VA 22911. The listed phone number is (845) 769-8758.

What is Affect Therapeutics Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

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), 43 clinicians in 5 Medicare specialties reassign 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. The largest specialties are Nurse Practitioner (30), Mental Health Counselor (7) and Clinical Social Worker (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Affect Therapeutics Inc hold CLIA laboratory certificates?

Yes. 3 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.

What insurance does Affect Therapeutics Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and Ambetter from Meridian and 9 other insurers list Affect Therapeutics Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Affect Therapeutics Inc was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.