Affect Provider Group, P.s.c.
Counselor, Mental Health in Ballwin, Missouri
1538050661- Practice location
- 13975 Manchester RD Ste 2, Ballwin, MO 63011-4500
- Phone
- 845-769-8758
- Fax
- —
- Last updated
- November 6, 2026
Affect Provider Group, P.s.c. is a healthcare organization based in Ballwin, MO. The NPI number for Affect Provider Group, P.s.c. is 1538050661. The current practice location address is 13975 Manchester RD Ste 2, Ballwin, MO 63011-4500 and the office can be reached by phone at 845-769-8758. The NPI was assigned on July 15, 2025 and the record was last updated in NPPES on November 6, 2026.
●Provider Profile Details
- NPI Number
- 1538050661
- Provider Name
- Affect Provider Group, P.s.c.
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Organization Subpart
- No
- Authorized Official
- Karla Renee Mullings · Director Of Compliance · 845-768-8758
- Enumeration Date
- July 15, 2025
- Last Update Date
- November 6, 2026
- Certification Date
- November 6, 2026
- NPI Status
- Active
- Other Names
- Affect (Other Name)
◉Business Practice Location Address
- Address
- 13975 Manchester RD Ste 2
Ballwin, MO 63011-4500 - City
- Ballwin
- State
- Missouri
- ZIP
- 63011-4500
- Country
- US
- Phone Number
- 845-769-8758
✉Business Mailing Address
- Address
- Po Box 96634
Phoenix, AZ 85072-6634 - City
- Phoenix
- State
- AZ
- ZIP
- 85072-6634
- Phone Number
- 845-769-8758
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Mental Health 193200000X - Multi-Specialty Group | 101YM0800X | Yes | — | — |
| Counselor, Professional 193200000X - Multi-Specialty Group | 101YP2500X | No | — | — |
| Social Worker, Clinical 193200000X - Multi-Specialty Group | 1041C0700X | No | — | — |
| Nurse Practitioner, Psych/Mental Health 193200000X - Multi-Specialty Group | 363LP0808X | No | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Ballwin, MO
View all providers in Ballwin →?Frequently Asked Questions
What is the NPI number of Affect Provider Group, P.s.c.?
The NPI number of Affect Provider Group, P.s.c. is 1538050661. It was assigned on July 15, 2025 and is currently active in the NPPES registry.
What is the specialty of Affect Provider Group, P.s.c.?
Affect Provider Group, P.s.c. is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Affect Provider Group, P.s.c. practice?
The practice location is 13975 Manchester RD Ste 2, Ballwin, MO 63011-4500. The office can be reached at 845-769-8758 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538050661 directly on the NPPES registry website at npiregistry.cms.hhs.gov.