AFFECT PROVIDER GROUP P.S.C.
NPI 1801788286
Counselor - Mental Health in Archdale, NC

Active since July 18, 2025
313C TRINDALE RD STE 205, ARCHDALE, NC 27263(845) 769-8758 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Affect Provider Group P.s.c. NPPES

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

AFFECT PROVIDER GROUP P.S.C. (NPI 1801788286) is a healthcare organization registered as a mental health in Archdale, North Carolina and active in the NPI registry since July 2025. The organization lists Karla Renee Mullings, Director Of Compliance, as its authorized official.

NPPES Registry Identity

NPI1801788286
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameAFFECT PROVIDER GROUP P.S.C.
Location Address313C TRINDALE RD STE 205Archdale, NC 27263-2751
Mailing AddressPo Box 96635Phoenix, AZ 85072-6635 · (845) 769-8758
Organization SubpartNo
Authorized OfficialKarla Renee MullingsDirector Of Compliance · (845) 768-8758
Enumeration DateJuly 18, 2025
Last NPPES UpdateAugust 14, 2026
NPPES CertifiedAugust 14, 2026
✔ NPI 1801788286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
313C TRINDALE RD STE 205, Archdale, NC 27263

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 Provider Group P.s.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Affect Provider Group P.S.C., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Social Worker
NPI 1669775318
3755 ADMIRAL DR STE 105A
High Point, NC 27265
(336) 673-5097
✔ PECOS✔ Accepts Medicare8.0 mi
Nurse Practitioner
NPI 1215304852
3825 MARKET ST STE 4
Wilmington, NC 28403
(910) 777-5575
✔ PECOS165 mi

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

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 Provider Group P.S.C.'s NPI number?

The NPI number for Affect Provider Group P.S.C. is 1801788286. It was assigned to this organization in the NPPES registry on July 18, 2025.

Where is Affect Provider Group P.S.C. located?

Affect Provider Group P.S.C. is located at 313C Trindale Rd Ste 205, Archdale, NC 27263. The listed phone number is (845) 769-8758.

What is Affect Provider Group P.S.C.'s specialty?

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

Is Affect Provider Group P.S.C. enrolled in Medicare?

Yes. Affect Provider Group P.S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Affect Provider Group P.S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Affect Provider Group P.S.C., in Clinical Social Worker and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Affect Provider Group P.S.C. was last updated on August 14, 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.