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AFFECT PROVIDER GROUP, P.S.C.
NPI 1902795255
Counselor - Mental Health in Edmond, OK

Active since July 01, 2025
3209 S BROADWAY STE 229, EDMOND, OK 73013(845) 769-8758 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 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 1902795255) is a healthcare organization registered as a mental health in Edmond, Oklahoma 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

NPI1902795255
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameAFFECT PROVIDER GROUP, P.S.C.
Location Address3209 S BROADWAY STE 229Edmond, OK 73013-4064
Mailing Address1640 Boro Pl Fl 4Mc Lean, VA 22102-3627 · (845) 769-8758
Phone(845) 769-8758
Organization SubpartNo
Authorized OfficialKarla Renee MullingsDirector Of Compliance · (845) 768-8758
Enumeration DateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
✔ NPI 1902795255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X
3209 S BROADWAY STE 229, Edmond, OK 73013
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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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IAN ST GEORGE THOMPSON MD
Family Medicine
3209 S BROADWAY STE 229
EDMOND, OK 73013
Oklahoma County (551) 295-8223
MRS. MOLLY ANN MAYFIELD APRN, NP-C
Nurse Practitioner (Family)
3209 S BROADWAY STE 229
EDMOND, OK 73013
Oklahoma County (551) 295-8223
MRS. TINA JOY APRN
Nurse Practitioner (Family)
3209 S BROADWAY STE 229
EDMOND, OK 73013
Oklahoma County (551) 295-8223
RHONDA ROCHELLE HILGER APRN-CNP
Nurse Practitioner
3209 S BROADWAY STE 229
EDMOND, OK 73013
Oklahoma County (551) 295-8223
MRS. LAVON L. KLAHR APRN
Nurse Practitioner (Family)
3209 S BROADWAY STE 229
EDMOND, OK 73013
Oklahoma County (551) 295-8223

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 1902795255. It was assigned to this organization in the NPPES registry on July 1, 2025.

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

Affect Provider Group, P.S.C. is located at 3209 S Broadway Ste 229, Edmond, OK 73013. 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.

When was this NPI record last updated?

The NPPES record for Affect Provider Group, P.S.C. was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.